ETHAN MICHAEL PHILPOTT (NPI# 1619062106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619062106 |
| Entity Type | Individual |
| Full Name | ETHAN MICHAEL PHILPOTT |
| Credential | M.D. |
| Practice Address |
2255 N. Scottsdale Road Scottsdale AZ 85257 |
| Practice Telephone | 4804648000 |
| Practice Fax Number | 4809902556 |
| Mailing Telephone | 4804648000 |
| Mailing Fax Number | 4809902556 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036127162 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA MEDICAL LICENSE | 074755 | 01 |
| Street Address |
2255 N. SCOTTSDALE ROAD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
| 1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
| 1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
| 1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
| 1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
| Find all providers in zip 85257 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1396188033 | Mark Gruszynski | Surgery | 8595 E Bell Rd Ste 103, Scottsdale, AZ 85260-1306 | 2013-04-11 |
| 1861615262 | Remus Repta | Surgery | 3271 N Civic Center Plz Ste 105, Scottsdale, AZ 85251-6990 | 2007-04-11 |
| 1558402537 | James Milton Nachbar | Surgery | 8896 E Becker Ln Ste 102, Scottsdale, AZ 85260-6281 | 2007-02-10 |
| 1477668184 | Raman Chaos Mahabir | Surgery | 8913 E Bell Rd Ste 101b, Scottsdale, AZ 85260-1598 | 2006-08-20 |
| 1144281650 | Ryan Blaine Tsujimura | Surgery | 15757 N 78th St, Suite A, Scottsdale, AZ 85260-1680 | 2006-04-01 |
| 1982674743 | Jonathan C Weinrach | Surgery | 10229 N 92nd St, Suite 102, Scottsdale, AZ 85258-4562 | 2006-01-25 |
| 1124545934 | Vincere Physicians Group Pllc | Surgery | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2017-08-23 |
| 1679920862 | Scottsdale Plastics, Pllc | Surgery | 9377 E Bell Rd, Suite 367, Scottsdale, AZ 85260-1505 | 2016-05-18 |
| 1750676326 | Ashley Lynn Howarth | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2011-06-12 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85257 |
Please comment or provide details below to improve the information on ETHAN MICHAEL PHILPOTT.
| 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.