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

Scottsdale Internal Medicine PLLC

Organization Primary Care Clinic/Center · NPI 1790050409

Scottsdale Internal Medicine PLLC is a Primary Care Clinic/Center in Phoenix, Arizona. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional 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

4643 N 12th St Ste 101
Phoenix, AZ 85014-4083
Phone: (602) 812-3789
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 13840 N Northsight Blvd Ste 121, Scottsdale, AZ 85260 — (480) 588-6924

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1790050409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Evans — Owner · (602) 292-0552
NPI enumeratedMarch 13, 2012
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address4643 N 12th St Ste 101, Phoenix, AZ 85014-4083

Other providers in Phoenix