SCOT GERALD FECHTEL (NPI# 1881618569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881618569 |
| Entity Type | Individual |
| Full Name | SCOT GERALD FECHTEL |
| Credential | MD |
| Practice Address |
4530 E Muirwood Dr Suite 111 Phoenix AZ 85048-7639 |
| Mailing Address |
14611 S 8th St Phoenix AZ 85048-6342 |
| Practice Telephone | 4809612365 |
| Practice Fax Number | 4809612382 |
| Mailing Telephone | 4804600558 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 25410 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
4530 E MUIRWOOD DR SUITE 111 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310227 | Padma R Mahant | Psychiatry & Neurology | 4530 E Muirwood Dr, Suite 111, Phoenix, AZ 85048-7639 | 2005-07-19 |
| 1962009589 | Maria Luisa L Lopez | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2020-10-06 |
| 1376194340 | Laiken Williams | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2019-09-21 |
| 1902383219 | Jessica Amy Nelson | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-07-19 |
| 1598241754 | Amanda Marie Grimes | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-07-11 |
| 1679081780 | Travis Bell | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1144738246 | Tanya Begell | Behavior Technician | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1790293801 | Remington Miller | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1043728140 | Sara Tackett | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1003324104 | Meagan Sullivan | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557334 | John Steven Charochak | Neuromusculoskeletal Medicine, Sports Medicine | 3033 W Bell Rd, Phoenix, AZ 85053-3000 | 2005-12-05 |
| 1154832277 | Accident & Injury Solutions | Neuromusculoskeletal Medicine, Sports Medicine | 701 W Glendale Ave, Phoenix, AZ 85021-8629 | 2017-10-16 |
| 1396890778 | Arizona Orthopaedic Associates At | Neuromusculoskeletal Medicine, Sports Medicine | 690 N Cofco Center Ct, 290, Phoenix, AZ 85008-6462 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053476853 | Joel S Sellers Do LLC | Neuromusculoskeletal Medicine, Sports Medicine | 11851 N 51st Ave Ste F110, Glendale, AZ 85304-2827 | 2006-12-22 |
| 1114024676 | Horizon Integrated Medicine PC | Neuromusculoskeletal Medicine, Sports Medicine | 17606 N 59th Ave Suite 3, Glendale, AZ 85308 | 2006-09-19 |
| 1871525634 | Thomas E Masters | Neuromusculoskeletal Medicine, Sports Medicine | 1821 N Trekell Rd Ste A3, Casa Grande, AZ 85122-1705 | 2006-07-06 |
| 1609829506 | Jacob Amrani | Neuromusculoskeletal Medicine, Sports Medicine | 16557 N 109th Way, Scottsdale, AZ 85255-2414 | 2006-05-19 |
| 1992269997 | Robyn E See | Neuromusculoskeletal Medicine, Sports Medicine | 15950 N Civic Center Plz, Surprise, AZ 85374-7464 | 2019-01-24 |
| 1124409073 | Muhammad Osman Salim Khan | Neuromusculoskeletal Medicine, Sports Medicine | 3507 S Mercy Rd Ste 101, Gilbert, AZ 85297-0441 | 2015-06-17 |
| 1811153604 | Amit Manu Patel | Neuromusculoskeletal Medicine, Sports Medicine | 8997 E Desert Cove Ave, Fl 1, Scottsdale, AZ 85260-6742 | 2008-08-01 |
| 1760697890 | Troy Virgil Maypa Taduran | Neuromusculoskeletal Medicine, Sports Medicine | 395 N Silverbell Rd, 101, Tucson, AZ 85745-2675 | 2007-05-11 |
| 1770798852 | Osteopathic Medical Center of Scottsdale PC | Neuromusculoskeletal Medicine, Sports Medicine | 9755 N 90th St, C-121, Scottsdale, AZ 85258-5046 | 2007-05-11 |
| 1134283500 | Susan B. Fleming, M.d., P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 4725 N 1st Ave, Tucson, AZ 85718-5610 | 2006-12-20 |
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| 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.