DR. EUGENE JOHN SIDOTI M.D. NPI 1316958945

NPI Information

NPI: 1316958945
Provider Name: DR. EUGENE JOHN SIDOTI, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-5011
Get Directions

DR. Eugene John Sidoti, M.D. is a plastic and reconstructive surgery surgery in Phoenix, AZ with 37 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Eugene John Sidoti, M.D. NPI is 1316958945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1987

The provider's business location address is:

2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008-973
Phone: (602) 344-5011
Fax: (602) 344-5596

The NPI 1316958945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 11/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		175407	NEW YORK	No
2	208200000X	Plastic Surgery		175407	NEW YORK	No
3	208200000X	Plastic Surgery		59440	ARIZONA	No
4	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	175407	NEW YORK	No
5	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	59440	ARIZONA	No
6	2082S0105X	Plastic Surgery	Surgery of the Hand	175407	NEW YORK	No
7	2082S0105X	Plastic Surgery	Surgery of the Hand	59440	ARIZONA	No
8	2086S0122X	Surgery	Plastic and Reconstructive Surgery	175407	NEW YORK	No
9	2086S0122X	Surgery	Plastic and Reconstructive Surgery	59440	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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