Provider Demographics
NPI:1922210418
Name:SONORAN EMERGENCY ASSOCIATES, P.L.C.
Entity Type:Organization
Organization Name:SONORAN EMERGENCY ASSOCIATES, P.L.C.
Other - Org Name:HEALTHCARE CENTRE-SCOTTSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BUTTERBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-951-4888
Mailing Address - Street 1:PO BOX 13984
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-3984
Mailing Address - Country:US
Mailing Address - Phone:480-951-4888
Mailing Address - Fax:
Practice Address - Street 1:10752 N. 89TH PLACE
Practice Address - Street 2:SUITE B-114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-951-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0917995261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ278756Medicaid
AZ278756Medicaid
B21609Medicare UPIN