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Deactivated NPI 1023106986 Deactivated / Inactive NPI Male Practitioner

Dr. John De Angelis , MD

Specialist • Scottsdale, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John De Angelis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date January 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John De Angelis, MD was a registered Specialist practicing in Scottsdale, AZ. Throughout an active medical career spanning 16 years, Dr. De Angelis provided care at the practice location at 8630 E VIA DE VENTURA until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

8630 E Via De Ventura

Scottsdale, AZ 852583326

Telephone 6235168252
Fax 6235168253
Associated Practice Facility / Clinic
🏢 Osna Pllc Facility NPI 1316260425

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Scottsdale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.1 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
96 Specialists

Practicing in Scottsdale, AZ (826 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 24017

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sara Enrico , FNP-C

Nurse Practitioner - Family

NPI 1033884762

Family Nurse Practitioner (Certified)

Cheryl Crawford , NP

Nurse Practitioner - Acute Care

NPI 1104412873

Nurse Practitioner

NPI 1184604332

Doctor of Osteopathic Medicine (D.O.)

Hyon Wilson , ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1205351723

ACNPCAG

Levi Porter , PA-C

Physician Assistant

NPI 1225111834

Physician Assistant (Certified)

Bonita Jones , ACNP

Nurse Practitioner - Acute Care

NPI 1245502657

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active March 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2014

Registered at 8630 E VIA DE VENTURA, SCOTTSDALE, AZ 852583326 (Tel: 6235168252)

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Updated Business Mailing Address March 14, 2014

Registered at 5281 N 99TH AVENUE, SUITE 100, GLENDALE, AZ 853053105 (Tel: 6235618252)

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Provider Name / Credentials Updated March 14, 2014

Recorded as JOHN DE ANGELIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2014

Specialist (License #24017 in AZ)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023106986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: March 14, 2014
Deactivation Date: January 30, 2022

Mailing Address

5281 N 99th Avenue, Suite 100

Glendale, AZ 853053105

Phone: 6235618252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.