MAYO CLINIC ARIZONA (NPI# 1134190093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134190093 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC ARIZONA |
| Other Organization Name | MAYO CLINIC SCOTTSDALE |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5404 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-09-11 |
| NPI Deactivation Date | 01/06/2012 |
| NPI Reactivation Date | 2012-09-11 |
| Authorized Official Name | JEFFREY R FROISLAND (TREASURER) |
| Authorized Official Telephone | 4803018000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 2856 | AZ | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
2856 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Scottsdale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099663 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 | 2018-04-02 |
| 1083079099 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5881 E. Mayo Blvd, #3-105, Phoenix, AZ 85054-4504 | 2015-12-17 |
| 1255796496 | Mayo Clinic Arizona | Pharmacy | 5881 E Mayo Blvd., #1-304, Phoenix, AZ 85054-4505 | 2015-12-15 |
| 1487663332 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-08-07 |
| 1750399895 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13737 N 92nd St, Scottsdale, AZ 85260-7434 | 2006-08-04 |
| 1508837469 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
| 1265403133 | Mayo Clinic Arizona | Rehabilitation Unit | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2006-01-30 |
| 1427029396 | Mayo Clinic Arizona | Clinic/Center | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1528039484 | Mayo Clinic Arizona | Clinical Medical Laboratory | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 1255302113 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205172467 | Arizona Center for Hematology and Oncology Plc | Pharmacy | 3501 N Scottsdale Rd, Suite 300, Scottsdale, AZ 85251-5648 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989168 | Community Hospital Association, Inc. | Pharmacy | 26750b S. Santa Fe Rd., Congress, AZ 85332 | 2019-06-04 |
| 1154688927 | Marana Health Center Inc | Pharmacy | 899 N Wilmot Rd Ste B, Tucson, AZ 85711-1712 | 2012-04-18 |
| 1245357706 | West Kingman Pharmacy, LLC | Pharmacy | 3135 N Stockton Hill Rd, Kingman, AZ 86401 | 2007-03-22 |
| 1649334442 | North Country Healthcare, Inc. | Pharmacy | 2920 North 4th Street, Flagstaff, AZ 86004 | 2006-12-19 |
| 1730295684 | State of Arizona | Pharmacy | 1295 N Martin, Tucson, AZ 85721-0001 | 2006-08-22 |
| 1023122843 | Cardiojost, Inc | Pharmacy | 140 S Power Rd Ste 102, Mesa, AZ 85206-5297 | 2006-08-18 |
| 1376502054 | Sunset Community Health Center Inc | Pharmacy | 815 E Cesar Chavez Blvd, San Luis, AZ 85349 | 2006-03-21 |
| 1275519241 | El Rio Health Center (southwest) | Pharmacy | 1510 W Commerce Court, Tucson, AZ 85746-6015 | 2005-12-21 |
| 1447242417 | Cigna Health Care of Arizona Inc | Pharmacy | 1920 E Baseline Rd, Tempe, AZ 85283-1511 | 2005-08-16 |
| 1992797930 | Cigna Health Care of Arizona Inc | Pharmacy | 9069 W Thunderbird, Peoria, AZ 85381 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
Please comment or provide details below to improve the information on MAYO CLINIC ARIZONA.
| 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.