EDLC, LLC (NPI# 1154804243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154804243 |
| Entity Type | Organization |
| Organization Name | EDLC, LLC |
| Practice Address |
7344 E Deer Valley Rd Ste 100 Scottsdale AZ 85255-7456 |
| Mailing Address |
Po Box 27973 Scottsdale AZ 85255-0149 |
| Practice Telephone | 4805131042 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | MS. LIN HOANG (PRACTICE MANAGER) |
| Authorized Official Telephone | 4805131042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Endocrinology, Diabetes and Longevity Center of Arizona, PLC. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EDLC, LLC | 75 Mandel Drive, Southington, CT 06489 |
| Street Address |
7344 E DEER VALLEY RD STE 100 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-7456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265614275 | Scott Richard Owen | Physician Assistant | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2007-11-30 |
| 1205476579 | Danielle Andersen | Nutritionist | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2020-01-14 |
| 1659854321 | Dusty Pickering | Nurse Practitioner | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2018-09-10 |
| 1780173559 | Patricia Beitzinger | Nutritionist | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257710 | Syoufi Endocrinology | Internal Medicine | 9336 E Raintree Dr Ste 150, Scottsdale, AZ 85260-7314 | 2012-05-24 |
| 1326238288 | Alpha -omega Endocrinology Diabetes &metabolism Center, PC. | Internal Medicine | 11111 N Scottsdale Rd Ste 240, Scottsdale, AZ 85254-6737 | 2007-07-26 |
| 1477674257 | East Valley Endocrinology, Diabetes & Metabolism, PC | Internal Medicine | 9700 N. 91st Street, B-220, Scottsdale, AZ 85258 | 2007-04-02 |
| 1578573101 | Marshall Burton Block | Internal Medicine | 9745 N 90th Pl, Ste B, Scottsdale, AZ 85258 | 2006-08-08 |
| 1750339214 | Kristina B. Blohm | Internal Medicine | 7344 E. Deer Valley Rd., Suite 100, Scottsdale, AZ 85255 | 2006-05-05 |
| 1679564512 | Grace Zlaket Matta | Internal Medicine | 9336 E Raintree Dr, Ste150, Scottsdale, AZ 85260-7322 | 2005-10-31 |
| 1245596444 | Heather Linnea Saran | Internal Medicine | 9328 E Raintree Dr, Scottsdale, AZ 85260-2098 | 2012-04-02 |
| 1649451006 | Elena Anna O. De Filippis | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-11-14 |
| 1386837789 | Krupa B Doshi | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-08-20 |
| 1285849034 | Endocrinology, Diabetes & Longevity Center of Arizona Plc | Internal Medicine | 7344 E Deer Valley Rd, Suite 100, Scottsdale, AZ 85255-7456 | 2007-05-14 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on EDLC, LLC.
| 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.