JCL SURGERY, LLC (NPI# 1215975966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215975966 |
| Entity Type | Organization |
| Organization Name | JCL SURGERY, LLC |
| Other Organization Name | NORTH VALLEY SURGERY |
| Practice Address |
3201 W Peoria Ave Suite C500 Phoenix AZ 85029-4608 |
| Practice Telephone | 6022986516 |
| Practice Fax Number | 6022982347 |
| Mailing Telephone | 6022986516 |
| Mailing Fax Number | 6022982347 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | GARY R GROVER (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 6022166687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 093479 | 05 |
| Other Name | Type Code |
|---|---|
| North Valley Surgery | Doing Business As Name - Organization |
| Street Address |
3201 W PEORIA AVE SUITE C500 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304840 | Thomas J Long | Physical Therapist | 3201 W Peoria Ave, Suite D800, Phoenix, AZ 85029-4608 | 2005-08-26 |
| 1639608599 | Jacqueline Barrera Olvera | Nurse Practitioner | 3201 W Peoria Ave, Phoenix, AZ 85029-4608 | 2017-06-05 |
| 1659823235 | Careatc-phoenix | Clinic/Center | 3201 W Peoria Ave, D707, Phoenix, AZ 85029-4608 | 2016-10-28 |
| 1487108593 | Emily Bowen | Physical Therapist | 3201 W Peoria Ave, Ste B408, Phoenix, AZ 85029 | 2016-08-05 |
| 1386051159 | Danette Moe | Physical Therapist | 3201 W Peoria Ave, Suite B-408, Phoenix, AZ 85029-4608 | 2014-07-14 |
| 1144648940 | Michael Kay | Physical Therapist | 3201 W Peoria Ave, B-408, Phoenix, AZ 85029-4608 | 2014-03-31 |
| 1801210893 | Medstaffpc | Family Medicine | 3201 W Peoria Ave, Ste D707, Phoenix, AZ 85029-4608 | 2014-02-11 |
| 1083042030 | Valley View Dental Pllc | Clinic/Center | 3201 W Peoria Ave, Suite A104, Phoenix, AZ 85029-4608 | 2013-10-29 |
| 1689006678 | Patrick Mills | Physical Therapist | 3201 W Peoria Ave, B408, Phoenix, AZ 85029-4608 | 2013-08-01 |
| 1083046288 | Jason M Klepfisz | Optometrist | 3201 W Peoria Ave, Suite D704, Phoenix, AZ 85029-4608 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939566 | Nirav Y Patel | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2005-06-01 |
| 1649546193 | Ace Assaf Ovil | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2012-03-29 |
| 1750543757 | Natasha Keric | Surgery | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2008-06-30 |
| 1639268048 | Marc Alan Levison | Surgery | 9327 N 3rd St, Suite 200, Phoenix, AZ 85020-2470 | 2006-10-12 |
| 1144330408 | Kevin P Mcgeever | Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2006-08-30 |
| 1376590679 | Kevin Foster | Surgery | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477871002 | Robert John Hoffman | Surgery | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2010-05-06 |
| 1336784735 | Amber Rose Ward | Surgery | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-11-10 |
| 1326513730 | Haley Linaman | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-10-11 |
| 1871093195 | Lone Star Med PC | Surgery | 7400 E Osborn Rd, Scottsdale, AZ 85251-6432 | 2018-02-13 |
| 1558818211 | Clair Watkins | Surgery | Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2016-09-09 |
| 1932532249 | Richard H Carmona | Surgery | 8600 E Rockcliff Rd, Tucson, AZ 85750-9733 | 2013-08-11 |
| 1194006577 | Trauma and Acute Care Surgeons of Northern Arizona | Surgery | 77 W Forest Ave Ste 206, Flagstaff, AZ 86001-1483 | 2011-08-30 |
| 1003194598 | Flagstaff Medical Center | Surgery | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2011-08-01 |
| 1790803260 | Kara Villareal Md PC | Surgery | 17250 N 43rd Ave, Glendale, AZ 85308-4035 | 2007-03-26 |
| 1780730309 | Lynn Gries | Surgery | University of Arizona, 1501 N. Campbell Ave. Rm 5411, Tucson, AZ 85724-5063 | 2007-01-26 |
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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.