Provider Demographics
NPI:1528013455
Name:SCOTTSDALE CARDIOVASCULAR CENTER PC
Entity Type:Organization
Organization Name:SCOTTSDALE CARDIOVASCULAR CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:480-945-3535
Mailing Address - Street 1:3099 N CIVIC CENTER PLZ
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6903
Mailing Address - Country:US
Mailing Address - Phone:480-945-3535
Mailing Address - Fax:480-994-8179
Practice Address - Street 1:3099 N CIVIC CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6903
Practice Address - Country:US
Practice Address - Phone:480-945-3535
Practice Address - Fax:480-994-8179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCN2594OtherRAILROAD MEDICARE
AZZWMBCMMedicare PIN