AMBULATORY SURGERY CENTER OF YUMA, LLC (NPI# 1083681100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083681100 |
Entity Type | Organization |
Organization Name | AMBULATORY SURGERY CENTER OF YUMA, LLC |
Practice Address |
2261 S Avenue B Yuma AZ 85364-6103 |
Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
Practice Telephone | 9283432180 |
Practice Fax Number | 9283730754 |
Mailing Telephone | 6029439200 |
Mailing Fax Number | 6022163000 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2007-12-06 |
Authorized Official Name | DR. STEPHEN A WALLACE (AUTHORIZED SIGNER) |
Authorized Official Telephone | 9283432180 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 697237 | 05 |
Street Address |
2261 S AVENUE B |
City | YUMA |
State | AZ |
Zip Code | 85364-6103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275076739 | Desert Sedation Services LLC | Nurse Anesthetist, Certified Registered | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2016-11-30 |
1689035537 | Yuma Endoscopy Center | Clinic/Center | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2016-03-18 |
1669668281 | Yuma Regional Outpatient Surgical Center LLC | Clinic/Center | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2007-09-18 |
1164592689 | Jasna Pecarski | Anesthesiology | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2006-11-09 |
1689600405 | Joan V Stratton | Anesthesiology | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
Find all providers in zip 85364 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
1992760938 | Yuma Outpatient Surgery Center Limited Partnership | Clinic/Center | 2475 S Ave A, Yuma, AZ 85364-7168 | 2006-04-20 |
1972578367 | Yuma Az Endoscopy Asc LLC | Clinic/Center | 1030 W 24th St, Suite 1, Yuma, AZ 85364-8384 | 2006-02-21 |
1689035537 | Yuma Endoscopy Center | Clinic/Center | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2016-03-18 |
1790172922 | Yuma Valley Ambulatory Pain Services Inc | Clinic/Center | 2270 S Ridgeview Dr, Suite 207, Yuma, AZ 85364-8875 | 2015-04-27 |
1497171714 | Yuma Surgery Center, LLC | Clinic/Center | 275 W 28th St, Suite 2, Yuma, AZ 85364-7308 | 2014-03-11 |
1134406994 | Tuscany Surgical Center LLC | Clinic/Center | 2851 S Avenue B, Ste 28, Yuma, AZ 85364-7726 | 2011-11-08 |
1063667293 | Yuma Eye Surgery Center | Clinic/Center | 1375 W 16th St, Suite B, Yuma, AZ 85364-4497 | 2008-12-02 |
1669668281 | Yuma Regional Outpatient Surgical Center LLC | Clinic/Center | 2261 S Avenue B, Yuma, AZ 85364-6103 | 2007-09-18 |
1215968664 | Barnet Dulaney Perkins Eye Center | Clinic/Center | 1375 W 16th St, Suite B, Yuma, AZ 85364-4497 | 2006-07-05 |
Find all providers in YUMA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.