SUSAN DEL SORDI STAATS DO PLLC NPI 1649776105

NPI Information

  • NPI: 1649776105
  • Provider Name: SUSAN DEL SORDI STAATS, DO PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ESSENTIAL FAMILY HEALTH & WELLNESS
  • CLIA Number: 03D2083361
  • Address: 11209 N TATUM BLVD STE 160
    PHOENIX, AZ
    ZIP 85028
  • Phone: (480) 285-2180

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NPI Details

SUSAN DEL SORDI STAATS, DO PLLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUSAN DEL SORDI STAATS, DO PLLC NPI is 1649776105. The provider is registered as an organization entity type.
The provider Is Doing Business As Essential Family Health & Wellness.

The provider's business location address is:

11209 N TATUM BLVD STE 160
PHOENIX, AZ
ZIP 85028-092
Phone: (480) 285-2180
Fax: (480) 285-2182

The provider's authorized official is Susan Del Sordi Staats .
The authorized official title is Owner/physician and has the following contact phone number (480) 285-2180.

The CLIA number assigned to this NPI record is 03D2083361 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily Medicine4490ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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