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SCOTTSDALE ADULT MEDICINE LLC NPI 1336322510


NPI Information

NPI: 1336322510
Provider Name: SCOTTSDALE ADULT MEDICINE LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 03D1077757

Address:
10679 N. FRANK LLOYD WRIGHT BLVD.
F101
SCOTTSDALE, AZ
ZIP 85259
Phone: (480) 229-8276
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SCOTTSDALE ADULT MEDICINE LLC is a medical specialty clinic center in Scottsdale, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SCOTTSDALE ADULT MEDICINE LLC NPI is 1336322510. The provider is registered as an organization entity type.

The provider's business location address is:

10679 N. FRANK LLOYD WRIGHT BLVD.
F101
SCOTTSDALE, AZ
ZIP 85259
Phone: (480) 229-8276

The provider's authorized official is Glenn Hinchman .
The authorized official title is Owner/manager and has the following contact phone number (480) 229-8276.

The CLIA number assigned to this NPI record is 03D1077757 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2007 and was last updated on 5/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty25523ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1119308MEDICARE PIN
2119307OTHERMEDICARE GROUP PTAN
367375MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.