EMPRISE SURGICAL ASSOCIATE PLLC (NPI# 1144364795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144364795 |
| Entity Type | Organization |
| Organization Name | EMPRISE SURGICAL ASSOCIATE PLLC |
| Practice Address |
7846 E Vista Bonita Dr Scottsdale AZ 85255-4123 |
| Practice Telephone | 4808601045 |
| Practice Fax Number | 4806648889 |
| Mailing Telephone | 4808601045 |
| Mailing Fax Number | 4806648889 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-03-28 |
| Authorized Official Name | SAMUEL DAVID MCREYNOLDS (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4808601045 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1480 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 881062 | 05 |
| Street Address |
7846 E VISTA BONITA DR |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1831582204 | Kelly Jackson | Physician Assistant | 9345 E Voltaire Ave, Scottsdale, AZ 85260-7432 | 2015-03-10 |
| 1336577188 | Elizabeth L Vito Pllc | Physician Assistant | 10055 E Mountainview Lake Dr Unit 1012, Scottsdale, AZ 85258-5268 | 2013-10-14 |
| 1053667600 | Neurological Surgical Assisting, LLC | Physician Assistant | 5204 E Wallace Ave, Scottsdale, AZ 85254 | 2012-08-01 |
| 1215231196 | Megan M Conover | Physician Assistant | 8841 E Bell Rd Ste 201, Scottsdale, AZ 85260 | 2011-01-06 |
| 1568539716 | Scott C Smith | Physician Assistant | 11221 N 89th Way, Scottsdale, AZ 85260-6180 | 2006-11-30 |
| 1063448389 | Kavita Saggar | Physician Assistant | 8888 E Raintree Dr, Suite 170, Scottsdale, AZ 85260-3951 | 2006-06-26 |
| 1386692572 | Steven M Gabaldon | Physician Assistant | 10213 N 92nd St, Suite 101, Scottsdale, AZ 85258-4561 | 2006-05-04 |
| 1558349134 | Elizabeth L Vito | Physician Assistant | 1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252-3616 | 2006-01-04 |
| 1255964375 | Hania Alexandra Alexander | Physician Assistant | 7960 E Thompson Peak Pkwy Ste 104, Scottsdale, AZ 85255-7406 | 2020-02-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on EMPRISE SURGICAL ASSOCIATE PLLC.
| 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.