EUGENE J. SIDOTI, JR. M.D. – NPI #1316958945
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

EUGENE SIDOTI, JR. is a surgeon located in PHOENIX, AZ. NPPES has assigned the NPI number 1316958945 to EUGENE SIDOTI, JR. on August 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Nov 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EUGENE SIDOTI, JR. below.

NPI Profile for
EUGENE J. SIDOTI, JR.

NPI Number
1316958945
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EUGENE J. SIDOTI, JR.
Credentials
M.D.
Primary location
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone: (602) 344-5011 Fax: (602) 344-5596
1 Other location(s):
688 Post Rd Ste 220
Suite 220
Scarsdale, NY 10583-5015
Phone: (914) 472-7200
Fax: (914) 472-7527
Mailing address
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone: (602) 470-5000 Fax: (602) 470-5064
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 AZ 59440
2082S0105X
- Plastic Surgery / Surgery of the Hand		 AZ 59440
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck		 NY 175407
208200000X
- Plastic Surgery		 AZ 59440
204E00000X
- Oral & Maxillofacial Surgery		 NY 175407

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EUGENE SIDOTI, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • VALLEYWISE HEALTH MEDICAL CENTER
      2601 EAST ROOSEVELT STREET
      PHOENIX, AZ 85008

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