MAYO CLINIC ARIZONA (NPI# 1427029396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427029396 |
| 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 | 2012-11-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC0070 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 395617 | 05 |
| 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 |
| 1134190093 | Mayo Clinic Arizona | Pharmacy | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2006-01-30 |
| 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 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976383 | Vhc-1 | Clinic/Center | 8900 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7307 | 2020-06-16 |
| 1558911586 | Integrated Surgery Centers LLC | Clinic/Center | 10025 E Dynamite Blvd Ste B150, Scottsdale, AZ 85262-3688 | 2019-09-11 |
| 1952955486 | Le Shangri La | Clinic/Center | 7545 E Angus Dr, Scottsdale, AZ 85251-6409 | 2019-08-01 |
| 1598226268 | Surgical & Pain Center of Scottsdale, LLC | Clinic/Center | 2629 N Scottsdale Rd Ste 101, Scottsdale, AZ 85257-1370 | 2019-03-26 |
| 1356815369 | Union Surgery Center LLC | Clinic/Center | 10611 N Hayden Rd Ste D102, Scottsdale, AZ 85260-8530 | 2019-01-14 |
| 1538656301 | Phoenix Spine Scottsdale Asc, LLC | Clinic/Center | 9700 N 91st St Ste C100, Scottsdale, AZ 85258-5054 | 2018-04-17 |
| 1811498272 | Desert Ridge Facility Group, LLC | Clinic/Center | 7629 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6291 | 2018-02-21 |
| 1467950527 | Orthopedic Surgery Center of Scottsdale, LLC | Clinic/Center | 2629 N Scottsdale Rd Ste 100, Scottsdale, AZ 85257-1370 | 2018-01-24 |
| 1619485430 | Health360 LLC | Clinic/Center | 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-5186 | 2018-01-15 |
| 1598277261 | Laser Spine Institute Ll Sole Mbr | Clinic/Center | 8888 E Raintree Dr Ste 165, Scottsdale, AZ 85260-3952 | 2017-11-02 |
| Find all providers in SCOTTSDALE | ||||
| 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.