BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC (NPI# 1639717655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639717655 |
| Entity Type | Organization |
| Organization Name | BODYSCULPTING OUTPATIENT SURGERY CENTER, LLC |
| Practice Address |
2255 N Scottsdale Road Scottsdale AZ 85257 |
| Practice Telephone | 4804648000 |
| Practice Fax Number | 4809902556 |
| Mailing Telephone | 4804648000 |
| Mailing Fax Number | 4809902556 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | ETHAN PHILPOTT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4804648000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2255 N SCOTTSDALE ROAD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
| 1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
| 1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
| 1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
| 1982841367 | Rasik C Patel | Dentist | 8010 E. Mcdowell Rd., #116, Scottsdale, AZ 85257 | 2009-01-07 |
| Find all providers in zip 85257 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1821613621 | Shakti Massage Therapy LLC | Clinic/Center | 13802 N Scottsdale Rd Ste 120-19, Scottsdale, AZ 85254-3458 | 2020-06-08 |
| 1275194946 | New Horizons Behavioral Health | Clinic/Center | 4848 N Goldwater Blvd, Scottsdale, AZ 85251-1433 | 2019-06-24 |
| 1174085567 | Alliance Infusions LLC | Clinic/Center | 8541 E Anderson Dr Ste 104, Scottsdale, AZ 85255-5430 | 2019-04-03 |
| 1750778387 | Pair of Slacks, LLC | Clinic/Center | 4032 N Miller Rd Ste 108, Scottsdale, AZ 85251-4572 | 2015-04-21 |
| 1417359258 | Advanced Mobile Md, LLC | Clinic/Center | 14201 N 87th St, D-145c, Scottsdale, AZ 85260-3683 | 2014-09-24 |
| 1154326650 | Scottsdale Surgical Partners LLC | Clinic/Center | 8901 E. Raintree Dr., Suite 100, Scottsdale, AZ 85260 | 2005-06-20 |
| 1245831486 | Southwest Facility Providers, LLC | Clinic/Center | 2629 N Scottsdale Rd Ste 100, Scottsdale, AZ 85257-1370 | 2020-11-04 |
| 1194332973 | Z Pain LLC | Clinic/Center | 9500 E. Ironwood Square Drive, Suite 125, Scottsdale, AZ 85258-8525 | 2020-09-25 |
| 1689288938 | Infuseable Healthcare, LLC | Clinic/Center | 8763 E Bell Rd Ste 102, Scottsdale, AZ 85260-1318 | 2020-09-03 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85257 |
Please comment or provide details below to improve the information on BODYSCULPTING OUTPATIENT SURGERY CENTER, 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.