SCOTTSDALE PLASTICS, PLLC (NPI# 1679920862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679920862 |
| Entity Type | Organization |
| Organization Name | SCOTTSDALE PLASTICS, PLLC |
| Other Organization Name | SCOTTSDALE PLASTICS |
| Practice Address |
9377 E Bell Rd Suite 367 Scottsdale AZ 85260-1505 |
| Practice Telephone | 4802456380 |
| Practice Fax Number | 4802456382 |
| Mailing Telephone | 4802456380 |
| Mailing Fax Number | 4802456382 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | DR. ROBERT GRANILLO BONILLAS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4802456380 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
40994 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Scottsdale Plastics | Doing Business As Name - Organization |
| Street Address |
9377 E BELL RD SUITE 367 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840580 | Michael Thomas Kelly | Dentist | 9377 E Bell Rd, Suite 301, Scottsdale, AZ 85260-1502 | 2005-09-06 |
| 1962040030 | Morgan Curran Johnson Duval | Physical Therapist | 9377 E Bell Rd, Scottsdale, AZ 85260-1502 | 2019-12-19 |
| 1720520570 | Cindy Finch - Benoy | Nurse Practitioner | 9377 E Bell Rd, Suite 143, Scottsdale, AZ 85260-1502 | 2016-11-10 |
| 1215383153 | Southwest Weightloss, LLC | Surgery | 9377 E Bell Rd, Suite 207, Scottsdale, AZ 85260-1502 | 2016-05-10 |
| 1841659141 | Darla Mckamey | Nurse Practitioner | 9377 E Bell Rd, Suite 143, Scottsdale, AZ 85260-1502 | 2016-02-15 |
| 1861863359 | Carli Larson | Nurse Practitioner | 9377 E Bell Rd, Scottsdale, AZ 85260-1502 | 2015-10-09 |
| 1831528298 | Shellee Adams | Nurse Practitioner | 9377 E Bell Rd, Suite 143, Scottsdale, AZ 85260-1502 | 2013-11-06 |
| 1386071611 | Kylie Olson | Nurse Practitioner | 9377 E Bell Rd, Suite 143, Scottsdale, AZ 85260-1502 | 2013-10-01 |
| 1538508700 | Jennifer Kay Collins | Nurse Practitioner | 9377 E Bell Rd, Scottsdale, AZ 85260-1502 | 2013-06-20 |
| 1619313012 | Jorge Gonzalez-cruz | Neurological Surgery | 9377 E Bell Rd, Suite 131, Scottsdale, AZ 85260-1502 | 2013-05-13 |
| Find all providers in the same location | ||||
| 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 |
| 1750676326 | Ashley Lynn Howarth | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2011-06-12 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on SCOTTSDALE PLASTICS, PLLC.
| 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.