PRESCOTT SURGICAL CLINIC PA (NPI# 1659609238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659609238 |
| Entity Type | Organization |
| Organization Name | PRESCOTT SURGICAL CLINIC PA |
| Practice Address |
810 Ainsworth Dr Suite A Prescott AZ 86301-1612 |
| Mailing Address |
Po Box 20490 Mesa AZ 85277-0490 |
| Practice Telephone | 9284459660 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | THOMAS RUSING (PRESIDENT) |
| Authorized Official Telephone | 4809851093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
810 AINSWORTH DR SUITE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780654988 | Shayan Alam | Specialist | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-01-23 |
| 1417256447 | Yavapai Surgical PC | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2011-03-16 |
| 1003822875 | Mark Thomas Worthington | Internal Medicine | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-07-31 |
| 1215992730 | Clifford Michael Morgan | Surgery | 810 Ainsworth Dr, Prescott, AZ 86301-1612 | 2006-04-18 |
| 1386613883 | Kimberley J. Scott | Physician Assistant | 810 Ainsworth Dr, Ste A, Prescott, AZ 86301-1612 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811253230 | Stanford Paul Sadick | Surgery | 3908 Twisted Trails, Prescott, AZ 86301-6724 | 2012-04-10 |
| 1649464454 | Yavapai Community Hospital Association | Surgery | 804 Ainsworth Drive Ste. 103, Prescott, AZ 86301-1624 | 2007-09-05 |
| 1376541805 | Eric Reynold Nelson | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2005-07-08 |
| 1750389276 | Brian P Schilperoort | Surgery | 2001 Excellence Way, Suite 200, Prescott, AZ 86301-8410 | 2005-07-08 |
| 1417256447 | Yavapai Surgical PC | Surgery | 810 Ainsworth Dr, Suite A, Prescott, AZ 86301-1612 | 2011-03-16 |
| 1457680456 | Thomas H. Hirasa, M.d., Pllc | Surgery | 804 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1624 | 2009-12-22 |
| 1376723189 | Eric R Nelson Md PC | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2007-11-08 |
| 1417145426 | Frank Iorio Md | Surgery | 3101 Clearwater Dr, Suite D, Prescott, AZ 86305-7180 | 2007-10-04 |
| 1437368404 | Jose E Torres | Surgery | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-05-22 |
| 1679649552 | Catherine C. Ohsiek-lesnick | Surgery | 242 Whipple St, Prescott, AZ 86301-1787 | 2006-11-24 |
| Find all providers in PRESCOTT | ||||
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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.