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O LONGEVITY & WELLNESS, PLLC
NPI 1083111371
Family Medicine in Scottsdale, AZ

Active since April 12, 2018
9821 N 95TH ST STE 101, SCOTTSDALE, AZ 85258(480) 416-0403(480) 240-5467 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2019, Apr 12, 2018 (2 updates tracked since 2018).

About O Longevity & Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

O LONGEVITY & WELLNESS, PLLC (NPI 1083111371) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since April 2018. The organization lists Ken Shadman Ota, Physician, as its authorized official.

NPPES Registry Identity

NPI1083111371
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameO LONGEVITY & WELLNESS, PLLC
Location Address9821 N 95TH ST STE 101Scottsdale, AZ 85258-4589
Mailing Address9821 N 95th St Ste 101Scottsdale, AZ 85258-4589 · (480) 365-8035 · Fax (480) 718-7373
Phone(480) 416-0403
Fax(480) 240-5467
Organization SubpartNo
Authorized OfficialKen Shadman OtaPhysician · (480) 365-8035
Enumeration DateApril 12, 2018
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
✔ NPI 1083111371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 5305
Definition

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.

9821 N 95TH ST STE 101, Scottsdale, AZ 85258
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CENTER FOR MUSCULOSKELETAL ULTRASOUND OF ARIZONA
Clinic/Center (Multi-Specialty)
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258
Maricopa County (480) 239-5539
DR. KEN SHADMAN OTA DO
Family Medicine
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258
Maricopa County (480) 365-8035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is O Longevity & Wellness, PLLC's NPI number?

The NPI number for O Longevity & Wellness, PLLC is 1083111371. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is O Longevity & Wellness, PLLC located?

O Longevity & Wellness, PLLC is located at 9821 N 95th St Ste 101, Scottsdale, AZ 85258. The listed phone number is (480) 416-0403.

What is O Longevity & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for O Longevity & Wellness, PLLC was last updated on August 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.