PRESCOTT UROCENTER LTD (NPI# 1790711091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711091 |
| Entity Type | Organization |
| Organization Name | PRESCOTT UROCENTER LTD |
| Practice Address |
811 Ainsworth Dr Suite 101 Prescott AZ 86301-1687 |
| Practice Telephone | 9287715282 |
| Practice Fax Number | 9287715283 |
| Mailing Telephone | 9287715282 |
| Mailing Fax Number | 9287715283 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | JEFFREY SANWICK (OWNER) |
| Authorized Official Telephone | 9287715282 |
| 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 |
OSC 0067 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 045642 | 05 | |
| AZ | RAILROAD MEDICARE | 490001613 | 01 |
| AZ | BLUE CROSS/BLUE SHIELD | AZ0202240 | 01 |
| Street Address |
811 AINSWORTH DR SUITE 101 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672329 | Martin Joseph Leidinger | Internal Medicine | 811 Ainsworth Dr, Prescott, AZ 86301-1687 | 2005-10-07 |
| 1881145746 | Cassandra Archer | Nurse Practitioner | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2016-10-16 |
| 1619169950 | Phoenix Cardiac Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-08-10 |
| 1437368404 | Jose E Torres | Surgery | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2007-05-22 |
| 1699859769 | Paul T. Nguyen | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-10-25 |
| 1114933694 | Thomas William Rusing | Surgery | 811 Ainsworth Dr, Suite 103, Prescott, AZ 86301-1687 | 2006-08-01 |
| 1134159650 | Ronald F Whitney | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-07-03 |
| 1811926660 | Pierre R Tibi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2006-07-02 |
| 1952339723 | Jeffrey M Sanwick | Specialist | 811 Ainsworth Dr, Suite 101, Prescott, AZ 86301-1687 | 2006-06-29 |
| 1801823372 | Brian S Allshouse | Physician Assistant | 811 Ainsworth Dr, Suite 109, Prescott, AZ 86301-1687 | 2006-06-28 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114140019 | Kokopelli Eye Care PC | Clinic/Center | 412 Whipple St, Prescott, AZ 86301-1712 | 2007-04-10 |
| 1083624670 | Prescott Outpatient Surgical Center | Clinic/Center | 815 Ainsworth Dr, Prescott, AZ 86301-1631 | 2006-08-08 |
| 1326089715 | Southwestern Eye Center Ltd | Clinic/Center | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-06-09 |
| 1437101433 | Tri City Surgery Center LLC | Clinic/Center | 5430 Distinction Way, Prescott, AZ 86301-4454 | 2006-05-17 |
| 1891320453 | Ophthalmic Consultants of Arizona, LLC | Clinic/Center | 412 Whipple St, Prescott, AZ 86301-1712 | 2020-03-04 |
| 1548593916 | Wm. Wade Collison Md | Clinic/Center | 1050 Gail Gardner Way, Suite 200, Prescott, AZ 86305-1630 | 2009-09-16 |
| 1720278047 | Arizona Institute of Eye Surgery, LLC | Clinic/Center | 3192 Willow Creek Rd, 3192 Willow Creek Road, Prescott, AZ 86301-6610 | 2007-08-01 |
| 1447458591 | Advanced Plastic Surgery Center, L.L.C. | Clinic/Center | 1615 Petroglyph Point Dr, Prescott, AZ 86301-6539 | 2007-07-10 |
| 1306877758 | Barnet Dulaney Surgery Centers, Pllc | Clinic/Center | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-07-05 |
| 1336107036 | Rummel Eye Care, P.C. | Clinic/Center | 1022 Willow Creek Rd, Prescott, AZ 86301-1607 | 2006-05-02 |
| Find all providers in PRESCOTT | ||||
Please comment or provide details below to improve the information on PRESCOTT UROCENTER LTD.
| 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.