AZ SURGICAL CENTER LLC (NPI# 1629513486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629513486 |
| Entity Type | Organization |
| Organization Name | AZ SURGICAL CENTER LLC |
| Other Organization Name | CENTRAL ARIZONA SURGICAL CENTER |
| Practice Address |
5133 N Central Ave Suite 100 Phoenix AZ 85012-1438 |
| Practice Telephone | 6022790044 |
| Practice Fax Number | 6022790088 |
| Mailing Telephone | 6022790044 |
| Mailing Fax Number | 6022790088 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | NIKKI VAUGHAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6022790044 |
| Authorized Official Credential | RN |
| 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 |
| Other Name | Type Code |
|---|---|
| Central Arizona Surgical Center | Doing Business As Name - Organization |
| Street Address |
5133 N CENTRAL AVE SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528039609 | William B Exley | Specialist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2006-01-27 |
| 1396193843 | Desert Princess | Obstetrics & Gynecology | 5133 N Central Ave, 100, Phoenix, AZ 85012-1438 | 2016-05-25 |
| 1811352164 | Greater Arizona Anesthesia Specialists, Pllc | Anesthesiology | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2015-12-30 |
| 1427426915 | Advanced Pain Management, Inc. | Anesthesiology | 5133 N Central Ave, Suite 100, Phoenix, AZ 85012-1438 | 2015-09-14 |
| 1104257963 | Central Avenue Specialty, Pllc. | Dentist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2013-12-04 |
| 1952536294 | Frederick Ellison Herro | Hospitalist | 5133 N Central Ave, Suite 200, Phoenix, AZ 85012-1438 | 2009-05-15 |
| 1437343738 | Anthony E. Herro Dds,pllc. | Dentist | 5133 N Central Ave, #102, Phoenix, AZ 85012-1438 | 2007-08-29 |
| 1417020330 | Robert Allen Williams | Psychiatry & Neurology | 5133 N Central Ave, Suite 107, Phoenix, AZ 85012-1438 | 2006-11-16 |
| 1295813228 | Greater Phoenix Physical Medicine | Physical Medicine & Rehabilitation | 5133 N Central Ave, Suite 101, Phoenix, AZ 85012-1438 | 2006-11-01 |
| 1033225214 | David J Domin Md PC | Specialist | 5133 N Central Ave, Ste 200, Phoenix, AZ 85012-1438 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 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.