Healthcare Provider Details

I. General information

NPI: 1780247726
Provider Name (Legal Business Name): ERIKA INES SCHOLTES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE RM 4401
TUCSON AZ
85724-0001
US

IV. Provider business mailing address

1501 N CAMPBELL AVE RM 4401
TUCSON AZ
85724-0001
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-7221
  • Fax:
Mailing address:
  • Phone: 520-626-7221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberR77370
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR77370
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number69106
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: