ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC (NPI# 1891905006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891905006 |
| Entity Type | Organization |
| Organization Name | ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC |
| Practice Address |
15721 N Greenway Hayden Loop #201 Scottsdale AZ 85260-1650 |
| Practice Telephone | 4809059211 |
| Practice Fax Number | 4809050504 |
| Mailing Telephone | 4809059211 |
| Mailing Fax Number | 4809050504 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-06-22 |
| Authorized Official Name | AMBER ALENE WALLIS (OFFICE MANAGER) |
| Authorized Official Telephone | 4809059211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
23958 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
15721 N GREENWAY HAYDEN LOOP #201 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453060 | Garey S Simmonds | Plastic Surgery | 15721 N Greenway Hayden Loop, #201, Scottsdale, AZ 85260-1650 | 2006-09-03 |
| 1467069724 | Stephen Alexander Perez | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2020-09-29 |
| 1356909600 | Hanna Sivak | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2019-06-02 |
| 1992264568 | Samantha Noelle Burkhart | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2019-03-13 |
| 1134699119 | Paige Madison Hayes | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2018-12-03 |
| 1417457979 | Dalia Dakhil | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2018-02-20 |
| 1366940199 | Alissa Clarice D'alessandro | Behavior Technician | 15721 N Greenway Hayden Loop, Scottsdale, AZ 85260-1650 | 2018-01-26 |
| 1801036538 | Samuel D. Benjamin Md, Md(h), Pllc | Family Medicine | 15721 N Greenway Hayden Loop, #103, Scottsdale, AZ 85260 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| 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 |
| 1619062106 | Ethan Michael Philpott | Surgery | 2255 N. Scottsdale Road, Scottsdale, AZ 85257 | 2006-10-03 |
| 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 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC.
| 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.