SURGERY CENTER OF PEORIA, LLC (NPI# 1992706899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992706899 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF PEORIA, LLC |
| Other Organization Name | SURGERY CENTER OF PEORIA |
| Practice Address |
13260 N 94th Dr Suite 200 Peoria AZ 85381-4828 |
| Practice Telephone | 6239332900 |
| Practice Fax Number | 6239330017 |
| Mailing Telephone | 6239332900 |
| Mailing Fax Number | 6239330017 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC0016 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | 490003885 | 01 |
| AZ | 436883 | 05 |
| Other Name | Type Code |
|---|---|
| Surgery Center of Peoria | Other Name - Individual/Organization |
| Street Address |
13260 N 94TH DR SUITE 200 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223561 | William M Haas | Chiropractor | 13260 N 94th Dr, Suite 205, Peoria, AZ 85381-4240 | 2005-05-31 |
| 1518467463 | Yvonne Lewis | Counselor | 13260 N 94th Dr, Peoria, AZ 85381 | 2018-02-16 |
| 1871048025 | Focus Home Therapy & Medical Services, LLC | Home Health | 13260 N 94th Dr, Suite 103, Peoria, AZ 85381-4828 | 2016-08-17 |
| 1851525778 | Stephen A. Folson, Dds Ms PC | Clinic/Center | 13260 N 94th Dr, Suite 410, Peoria, AZ 85381-4828 | 2009-05-06 |
| 1669669644 | William M Haas Dba Acadia Health Clinic | Chiropractor | 13260 N 94th Dr, Suite 205, Peoria, AZ 85381-4240 | 2007-10-03 |
| 1568658763 | Nassan and Associates | Prosthetic/Orthotic Supplier | 13260 N 94th Dr, Suite 102, Peoria, AZ 85381-4828 | 2007-09-20 |
| 1720282338 | Stephen Alan Folson | Dentist | 13260 N 94th Dr, Suite 410, Peoria, AZ 85381-4828 | 2007-06-14 |
| 1821134834 | Bridget Moss Gordon | Speech-Language Pathologist | 13260 N 94th Dr, Suite 104, Peoria, AZ 85381-4828 | 2007-01-29 |
| 1659417608 | Mccormicare Speech Therapy, Inc | Speech-Language Pathologist | 13260 N 94th Dr, Suite 104, Peoria, AZ 85381-4828 | 2007-01-29 |
| 1679645691 | Acadia Health Clinic, LLC | Chiropractor | 13260 N 94th Dr, Suite 205, Peoria, AZ 85381-4240 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341353 | Banner Peoria Surgery Center LLC | Clinic/Center | 13640 N Plaza Del Rio Blvd Ste 135, Peoria, AZ 85381-4846 | 2017-08-09 |
| 1285085068 | Valley Pain Centers of Arizona, LLC | Clinic/Center | 9242 W Union Hills Dr Ste 100, Peoria, AZ 85382-8218 | 2016-06-23 |
| 1700137650 | Olive Surgical Care, LLC | Clinic/Center | 8914 N 91st Ave, Suite 120, Peoria, AZ 85345-8390 | 2012-10-01 |
| 1972782845 | Nationalhealthcareinc | Clinic/Center | 7405 N University St, Peoria, IL 61614-1212 | 2007-10-29 |
| 1104957869 | Pain Solutions Center, LLC | Clinic/Center | 15262 N 75th Ave, Suite 400, Peoria, AZ 85381-4763 | 2007-03-07 |
| 1821141284 | Center for Health Ambulatory Surgery Center, LLC | Clinic/Center | 8800 Route 91 North, Peoria, IL 61615 | 2007-01-19 |
| 1528002219 | Pinnacle Surgery Center LLC | Clinic/Center | 6790 W Thunderbird Rd, Peoria, AZ 85381-5023 | 2006-06-15 |
| 1518498385 | Annmarie Klein | Clinic/Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-03-23 |
| 1023567260 | Ski Ambulatory Surgical Centers, LLC | Clinic/Center | 7362 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-5028 | 2016-09-29 |
| 1790104248 | Metro Surgery Center, LLC | Clinic/Center | 6790 W Thunderbird Rd, Peoria, AZ 85381 | 2014-04-14 |
| Find all providers in PEORIA | ||||
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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.