=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174143937
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAIMEI ZHANG WENDT MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2020
-----------------------------------------------------
Last Update Date | 10/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7301 E 2ND ST STE 210
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85251-5620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-534-4515
-----------------------------------------------------
Fax | 480-882-5885
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 W UTOPIA RD STE 100
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85027-4172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-683-4462
-----------------------------------------------------
Fax | 623-683-4963
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 77016
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------