CENTRAL ARIZONA SURGERY CENTER (NPI# 1386000495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386000495 |
| Entity Type | Organization |
| Organization Name | CENTRAL ARIZONA SURGERY CENTER |
| Practice Address |
1653 E Mcmurray Blvd Suite 141 Casa Grande AZ 85122-5934 |
| Mailing Address |
1653 E. Mcmurray Blvd Ste 141 Casa Grande AZ 85122-5934 |
| Practice Telephone | 5208368644 |
| Practice Fax Number | 4803593892 |
| Mailing Telephone | 5202336502 |
| Mailing Fax Number | 5202336816 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | DR. GEORGE ROGER EDELEN (OWNER/DOCTOR) |
| Authorized Official Telephone | 5208368644 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
1653 E MCMURRAY BLVD SUITE 141 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485825 | Deborah Hudak | Family Medicine | 1653 E Mcmurray Blvd, Ste 132, Casa Grande, AZ 85122-5934 | 2005-05-23 |
| 1114960887 | George Roger Edelen | Anesthesiology | 1653 E Mcmurray Blvd, Suite 144, Casa Grande, AZ 85122-5934 | 2006-06-13 |
| 1013987072 | Habib U Khan | Psychiatry & Neurology | 1653 E Mcmurray Blvd, Suite 139, Casa Grande, AZ 85222-2023 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205303930 | Laser Surgery Holding Company, Ltd | Clinic/Center | 1760 E Florence Blvd Bldg 2, Casa Grande, AZ 85122-4776 | 2018-10-31 |
| 1750384822 | Surgical Specialties of Casa Grande | Clinic/Center | 1760 E Florence Blvd, Bldg 2, Casa Grande, AZ 85222-4776 | 2005-05-23 |
| 1275569121 | Southwestern Eye Center Ltd | Clinic/Center | 560 N Camino Mercado, Suite 1, Casa Grande, AZ 85122-5759 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940274 | Arizona Centers for Orthobiologics, LLC | Clinic/Center | 610 E Baseline Rd Ste 103, Tempe, AZ 85283-1204 | 2020-10-21 |
| 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 |
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1952917445 | Aurora Surgical Center LLC | Clinic/Center | 1254 W University Ave Ste 130, Flagstaff, AZ 86001-7217 | 2020-09-20 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1780292110 | Buckeye South LLC | Clinic/Center | 23390 W Yuma Rd Ste 101, Buckeye, AZ 85326-3106 | 2020-07-22 |
| 1457976383 | Vhc-1 | Clinic/Center | 8900 E Raintree Dr Ste 100, Scottsdale, AZ 85260-7307 | 2020-06-16 |
| 1003439712 | Comprehensive Surgical Care of Sun City | Clinic/Center | 14642 N Del Webb Blvd Ste 100, Sun City, AZ 85351-2101 | 2020-05-28 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on CENTRAL ARIZONA SURGERY CENTER.
| 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.