PHOENIX SPINE SCOTTSDALE ASC, LLC


Address: 9700 N 91st St Ste C100, Scottsdale, AZ 85258-5054
Phone: 6022562525

PHOENIX SPINE SCOTTSDALE ASC, LLC (NPI# 1538656301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538656301
Entity Type Organization
Organization Name PHOENIX SPINE SCOTTSDALE ASC, LLC
Other Organization Name PHOENIX SPINE CHANDLER ASC, LTD.
Practice Address 9700 N 91st St Ste C100
Scottsdale
AZ 85258-5054
Mailing Address 2525 E Arizona Biltmore Cir Ste D142
Phoenix
AZ 85016-2147
Practice Telephone 6022562525
Mailing Telephone 6022562525
Mailing Fax Number 6022560795
Enumeration Date 2018-04-17
Last Update Date 2018-06-16
Authorized Official Name MS. DEB SWATON (DIRECTOR OF NURSING)
Authorized Official Telephone 6022562525
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Phoenix Spine Chandler ASC, Ltd. Former Legal Business Name - Organization
Phoenix Spine Scottsdale ASC, Ltd. Former Legal Business Name - Organization

Office Location

Street Address 9700 N 91ST ST STE C100
City SCOTTSDALE
State AZ
Zip Code 85258-5054

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1801378377 Michelle Marie Kometh Social Worker 9449 N 90th St Suite 205, Scottsdale, AZ 85258 2018-08-31
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1558911586 Integrated Surgery Centers LLC Clinic/Center 10025 E Dynamite Blvd Ste B150, Scottsdale, AZ 85262-3688 2019-09-11
1952955486 Le Shangri La Clinic/Center 7545 E Angus Dr, Scottsdale, AZ 85251-6409 2019-08-01
1598226268 Surgical & Pain Center of Scottsdale, LLC Clinic/Center 2629 N Scottsdale Rd Ste 101, Scottsdale, AZ 85257-1370 2019-03-26
1356815369 Union Surgery Center LLC Clinic/Center 10611 N Hayden Rd Ste D102, Scottsdale, AZ 85260-8530 2019-01-14
1811498272 Desert Ridge Facility Group, LLC Clinic/Center 7629 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6291 2018-02-21
1467950527 Orthopedic Surgery Center of Scottsdale, LLC Clinic/Center 2629 N Scottsdale Rd Ste 100, Scottsdale, AZ 85257-1370 2018-01-24
1619485430 Health360 LLC Clinic/Center 11333 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-5186 2018-01-15
1598277261 Laser Spine Institute Ll Sole Mbr Clinic/Center 8888 E Raintree Dr Ste 165, Scottsdale, AZ 85260-3952 2017-11-02
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Competitor

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City SCOTTSDALE
Zip Code 85258

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Dataset Information

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.

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