FREDERICK G. DETTMANN, M.D. (NPI# 1598141848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598141848 |
| Entity Type | Organization |
| Organization Name | FREDERICK G. DETTMANN, M.D. |
| Practice Address |
4801 N 68th St Scottsdale AZ 85251-1143 |
| Practice Telephone | 4804813076 |
| Practice Fax Number | 4804819208 |
| Mailing Telephone | 4804813076 |
| Mailing Fax Number | 4804819208 |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |
| Authorized Official Name | DR. FREDERICK GUSTAV DETTMANN (PRACTITIONER) |
| Authorized Official Telephone | 4804813076 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
25333 | AZ | Ambulatory Health Care Facilities |
| Street Address |
4801 N 68TH ST |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003280298 | Frederick Gustav Dettmann | Clinic/Center | 4801 N 68th St, Scottsdale, AZ 85251-1143 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| Taxonomy Code | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190177 | Nventa Incorporated | Clinic/Center | 226 W Vaughn St, Tempe, AZ 85283-3649 | 2020-06-30 |
| 1508139700 | Clinical Research Advantage, Inc. | Clinic/Center | 2141 East Broadway Road, Suite 100, Tempe, AZ 85282 | 2012-02-17 |
| 1134497514 | Elite Clinical Studies, LLC | Clinic/Center | 4520 E Indian School Rd Ste 1, Phoenix, AZ 85018-5434 | 2011-12-13 |
| 1114572070 | Marchand Institute for Minimally Invasive Surgery | Clinic/Center | 10238 E Hampton Ave Ste 212, Mesa, AZ 85209-3318 | 2019-08-07 |
| 1881954642 | Arizona Center for Clinical Trials LLC | Clinic/Center | 515 W Buckeye Rd, Suite 206, Phoenix, AZ 85003-2647 | 2012-05-25 |
| 1932476702 | Eclipse Clinical Research | Clinic/Center | 1704 W Anklam Rd, Suite 106, Tucson, AZ 85745-2656 | 2011-11-22 |
| 1659549319 | Quality of Life Medical & Research Center, LLC | Clinic/Center | 5350 E Erickson Dr, Tucson, AZ 85712-2822 | 2008-02-15 |
| 1457562746 | Amri of Tucson, L.L.C. | Clinic/Center | 310 N Wilmot Rd, Ste 105, Tucson, AZ 85711-2618 | 2007-05-25 |
| City | SCOTTSDALE |
| Zip Code | 85251 |
Please comment or provide details below to improve the information on FREDERICK G. DETTMANN, M.D..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.