Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medspa by Soul Surgery, LLC

Organization Internal Medicine Physician · NPI 1184104812

Medspa by Soul Surgery, LLC is an Internal Medicine Physician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14362 N Frank Lloyd Wright Blvd Ste B109
Scottsdale, AZ 85260-8881
Phone: (480) 912-3105
Fax: (480) 912-3106
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Internal Medicine Physician Taxonomy 207R00000X · Licence XT4080190 (AZ)

Record details

NPI number1184104812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Shakespeare — Billing Compliance Officer · (928) 554-5633
NPI enumeratedAugust 21, 2018
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address14362 N Frank Lloyd Wright Blvd Ste B109, Scottsdale, AZ 85260-8881

Other providers in Scottsdale