SURGCENTER CAMELBACK LLC (NPI# 1407275282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407275282 |
| Entity Type | Organization |
| Organization Name | SURGCENTER CAMELBACK LLC |
| Practice Address |
6245 N 24th Pkwy Suite 112 Phoenix AZ 85016 |
| Practice Telephone | 6026827005 |
| Practice Fax Number | 6026807225 |
| Mailing Telephone | 6026827005 |
| Mailing Fax Number | 6026807225 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | DAVID CAMARATA (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6025103203 |
| 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 |
6245 N 24TH PKWY SUITE 112 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005156 | Helene Marie Fearon | Physical Therapist | 6245 N 24th Pkwy, Ste 105, Phoenix, AZ 85016-2024 | 2005-07-01 |
| 1326411950 | Sheri Lyn Clark | Psychologist | 6245 N 24th Pkwy, Suite #106, Phoenix, AZ 85016-2024 | 2015-11-04 |
| 1467744946 | Melissa C Estavillo | Psychologist | 6245 N 24th Pkwy, Suite 106, Phoenix, AZ 85016-2024 | 2011-05-03 |
| 1558672642 | Lauren Joy Shafer | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2024 | 2010-06-23 |
| 1902120512 | Roessler Physical Therapy | Physical Therapist | 6245 N 24th Pkwy, Ste 105, Phoenix, AZ 85016-2024 | 2010-03-25 |
| 1205054095 | Biltmore Psychiatric Group | Psychiatry & Neurology | 6245 N 24th Pkwy, Ste 203, Phoenix, AZ 85016-2024 | 2007-04-24 |
| 1023063351 | Michael Thomas Oconnor | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2029 | 2006-05-24 |
| 1548215999 | Fearon Physical Therapy PC | Physical Therapist | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2024 | 2006-05-24 |
| 1154376507 | David Michael Roessler | Physical Therapist | 6245 N 24th Pkwy, Phoenix, AZ 85016-2029 | 2006-05-24 |
| 1760437065 | Lauri Lazarus | Physical Therapist | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2024 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.