Healthcare Provider Details

I. General information

NPI: 1841550811
Provider Name (Legal Business Name): ADAM HEATH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 E WILSHIRE DR
SCOTTSDALE AZ
85257-2442
US

IV. Provider business mailing address

8701 E WILSHIRE DR
SCOTTSDALE AZ
85257-2442
US

V. Phone/Fax

Practice location:
  • Phone: 937-418-8686
  • Fax:
Mailing address:
  • Phone: 937-418-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number52280
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: