ADVANCED LASER & SURGICENTER OF ARIZONA, PC (NPI# 1538113238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538113238 |
| Entity Type | Organization |
| Organization Name | ADVANCED LASER & SURGICENTER OF ARIZONA, PC |
| Practice Address |
3303 E Baseline Rd #104 Gilbert AZ 85234-2739 |
| Practice Telephone | 4806322020 |
| Practice Fax Number | 4806322121 |
| Mailing Telephone | 4806322020 |
| Mailing Fax Number | 4806322121 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | KIANOUSH KIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 4806322020 |
| 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 |
OSC3540 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | AZ0209500 | 01 | |
| AZ | HEALTH NET INS | IZ0620 | 01 |
| AZ | AZ HEALTH CARE COST SYS | 907610 | 01 |
| BCBS OF AZ | AZ0209500 | 01 |
| Street Address |
3303 E BASELINE RD #104 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786507 | Thomas J Slobig | Internal Medicine | 3303 E Baseline Rd, #208, Gilbert, AZ 85234-2738 | 2005-08-02 |
| 1356905285 | Jtbl LLC | General Practice | 3303 E Baseline Rd, Gilbert, AZ 85234-2738 | 2019-04-25 |
| 1043734650 | Tiffany Avery | Acupuncturist | 3303 E Baseline Rd, Gilbert, AZ 85234-2738 | 2017-07-26 |
| 1538520978 | Stuttering and Speech Therapy of Arizona, LLC | Speech-Language Pathologist | 3303 E Baseline Rd, Bldg 5, Ste 109, Gilbert, AZ 85234-2738 | 2016-03-13 |
| 1083094122 | New Adaptations Psychotherapy Services LLC | Social Worker | 3303 E Baseline Rd, Suite 114, Gilbert, AZ 85234-2738 | 2015-06-04 |
| 1649662206 | Advanced Surgery Center of Arizona | Clinic/Center | 3303 E Baseline Rd, Ste. 104, Gilbert, AZ 85234-2739 | 2015-02-19 |
| 1477942761 | Charise Schwertfeger | Marriage & Family Therapist | 3303 E Baseline Rd, Suite 109, Gilbert, AZ 85234-2738 | 2015-01-09 |
| 1427456300 | Paul Herbert Kuppinger | Nurse Practitioner | 3303 E Baseline Rd, Suite 203 Bldg 2, Gilbert, AZ 85234-2738 | 2014-12-09 |
| 1477830057 | Jamie Z Black | Physician Assistant | 3303 E Baseline Rd, Ste.#208, Gilbert, AZ 85234-2738 | 2011-11-09 |
| 1942523667 | Kelly Marie Sezate | Nurse Practitioner | 3303 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2738 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277069 | Southwest Endoscopy LLC | Clinic/Center | 2223 E Baseline Rd Ste B, Gilbert, AZ 85234-2336 | 2020-02-20 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1437795598 | Pain Specialty Surgical Center | Clinic/Center | 3303 E Baseline Rd Ste 104, Gilbert, AZ 85234-2739 | 2019-11-25 |
| 1629559208 | Orthoarizona Surgery Center Gilbert, LLC | Clinic/Center | 1675 E. Melrose Street, Suite 201, Gilbert, AZ 85297-7500 | 2018-08-22 |
| 1154832145 | Gilbert Facility Group, LLC | Clinic/Center | 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 | 2017-10-17 |
| 1033400619 | Santan Surgery Center, LLC | Clinic/Center | 1704 E Boston St, Gilbert, AZ 85295-6223 | 2011-04-29 |
| 1659683662 | Premier Endoscopy Center, LLC | Clinic/Center | 2563 S Val Vista Drive, Gilbert, AZ 85296 | 2010-07-07 |
| 1063693588 | Southwest Endoscopy & Surgicenter LLC | Clinic/Center | 2223 E Baseline Road, Suite B, Gilbert, AZ 85234-2397 | 2007-11-27 |
| 1154387710 | Warner Park Surgery Center LLC | Clinic/Center | 3367 S. Mercy Road, Suite 101, Gilbert, AZ 85297 | 2006-04-24 |
| 1598372799 | Mercy Facility LLC | Clinic/Center | 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 | 2020-09-30 |
| Find all providers in GILBERT | ||||
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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.