Organization Active NPI

James J. Bouzoukis, MD, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1972783785
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
30243 Issued in AZ
Legal business name
JAMES J. BOUZOUKIS, MD, LLC
Practice address
9155 E Bell Rd
Scottsdale, AZ 85260-1521
Phone
(480) 889-8877
Fax
(480) 889-8878
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James J. Bouzoukis, MD
Title
Member/Owner
Phone
(480) 889-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 30243 AZ Primary

Addresses

Primary practice location

9155 E Bell Rd
Scottsdale, AZ 85260-1521

Mailing address

9155 E Bell Rd
Scottsdale, AZ 85260-1521
Phone (480) 889-8877

Other identifiers 4

IdentifierTypeStateIssuer
871823MedicaidAZ
AZ0732540OtherAZAZ BLUE CROSS BLUE SHIELD
1Z8392OtherAZHEALTHNET
0997727OtherAZCIGNA

National Provider Directory

National Provider Directory

Locations

9155 E Bell Rd
Scottsdale, AZ 85260
Phone (480) 203-4954

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972783785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601521",
            "telephone_number": "480-889-8877",
            "fax_number": "480-889-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601521",
            "telephone_number": "480-889-8877",
            "fax_number": "480-889-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. BOUZOUKIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOUZOUKIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "480-889-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "30243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871823",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0732540",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z8392",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0997727",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.