Provider Demographics
NPI:1528379658
Name:VALERIE J SCHOLTEN MD PC
Entity Type:Organization
Organization Name:VALERIE J SCHOLTEN MD PC
Other - Org Name:DESERT SAGE OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SCHOLTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-466-1111
Mailing Address - Street 1:5533 E BELL RD
Mailing Address - Street 2:STE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1228
Mailing Address - Country:US
Mailing Address - Phone:602-466-1111
Mailing Address - Fax:602-795-4706
Practice Address - Street 1:5533 E BELL RD
Practice Address - Street 2:STE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1228
Practice Address - Country:US
Practice Address - Phone:602-466-1111
Practice Address - Fax:602-795-4706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ141654Medicare PIN