ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC (NPI# 1306843222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306843222 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC |
| Practice Address |
240 W Thomas Rd Phoenix AZ 85013-4407 |
| Practice Telephone | 6024063552 |
| Practice Fax Number | 6024067139 |
| Mailing Telephone | 6024063552 |
| Mailing Fax Number | 6024067139 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC3456 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0202840 | 01 |
| AZ | 826836 | 05 | |
| AZ | HEALTHNET | IZ2500 | 01 |
| Street Address |
240 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316474950 | Landa Fisher | Physical Therapist | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2017-05-14 |
| 1548629306 | Dignity Health | Rehabilitation Hospital | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2016-02-22 |
| 1831587807 | Lori Brickner | Physical Therapist | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2014-12-29 |
| 1760892400 | Michael Vincent Robers | Psychiatry & Neurology | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2014-05-03 |
| 1093154072 | Nicki Niemann | Psychiatry & Neurology | 240 W Thomas Rd, # 301, Phoenix, AZ 85013-8581 | 2013-06-23 |
| 1821378795 | Jina Maria Youn | Psychiatry & Neurology | 240 W Thomas Rd, Suite 403, Phoenix, AZ 85013-4407 | 2011-08-24 |
| 1316263411 | Naomi M. Salins | Psychiatry & Neurology | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2010-04-14 |
| 1215266077 | Thomas Scheub | Occupational Therapist | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2009-12-08 |
| 1235368747 | An Trieu Tran | Psychiatry & Neurology | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2009-07-06 |
| 1013144666 | Kamala C Saha | Psychiatry & Neurology | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2009-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| 1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
| 1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
| 1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
| 1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
| 1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
| 1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
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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.