| NPI | 1316958945 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-10 |
| Last Updated | 2019-11-07 |
| Mailing Address | 2929 E Thomas Rd Phoenix, AZ 85016-8034 United States Phone: (602) 470-5000 | Fax: (602) 470-5064 📍 View Map |
| Primary Practice Address | 2601 E Roosevelt St Phoenix, AZ 85008-4973 United States Phone: (602) 344-5011 | Fax: (602) 344-5596 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 204E00000X – Oral & Maxillofacial Surgery | NY | 175407 |
| No | 208200000X – Plastic Surgery | NY | 175407 |
| No | 208200000X – Plastic Surgery | AZ | 59440 |
| No | 2082S0099X – Plastic Surgery, Plastic Surgery Within the Head and Neck | NY | 175407 |
| No | 2082S0099X – Plastic Surgery, Plastic Surgery Within the Head and Neck | AZ | 59440 |
| No | 2082S0105X – Plastic Surgery, Surgery of the Hand | NY | 175407 |
| No | 2082S0105X – Plastic Surgery, Surgery of the Hand | AZ | 59440 |
| No | 2086S0122X – Surgery, Plastic and Reconstructive Surgery | NY | 175407 |
| Yes | 2086S0122X – Surgery, Plastic and Reconstructive Surgery | AZ | 59440 |
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About NPI 1316958945
Eugene John Sidoti M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1316958945. The primary specialty listed is Surgery, Plastic and Reconstructive Surgery. The provider is located in Phoenix, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316958945?
NPI 1316958945 belongs to Eugene John Sidoti M.D., a Surgery, Plastic and Reconstructive Surgery in Phoenix, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316958945 active?
The current status of NPI 1316958945 in the NPPES registry is Active. The record was last updated on 2019-11-07.
What specialty is NPI 1316958945?
NPI 1316958945 is classified under the taxonomy Surgery, Plastic and Reconstructive Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316958945?
You can verify NPI 1316958945 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316958945?
The primary practice address on file for NPI 1316958945 is 2601 E Roosevelt St, Phoenix, AZ 85008-4973. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316958945 issued?
NPI 1316958945 was first issued (enumerated) on 2006-08-10. The NPPES record was last updated on 2019-11-07.
Practice Location Map
Eugene John Sidoti is located at 2601 E Roosevelt St, Phoenix, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eugene John Sidoti. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316958945. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Oral & Maxillofacial Surgery | 175407 | NY |
| Plastic Surgery | 175407 | NY |
| Plastic Surgery | 59440 | AZ |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 175407 | NY |
| Plastic Surgery, Plastic Surgery Within the Head and Neck | 59440 | AZ |
| Plastic Surgery, Surgery of the Hand | 175407 | NY |
| Plastic Surgery, Surgery of the Hand | 59440 | AZ |
| Surgery, Plastic and Reconstructive Surgery | 175407 | NY |
| Surgery, Plastic and Reconstructive Surgery | 59440 | AZ |