NPIMap

Organization Active NPI

Luna Surgery Center of Phoenix, Az, PC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1013105915
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LUNA SURGERY CENTER OF PHOENIX, AZ, PC
Practice address
2501 N 32ND St
Phoenix, AZ 85008-2104
Phone
(602) 957-6799
Fax
(602) 957-0172
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Cameron
Title
Administrative
Phone
(248) 553-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2501 N 32ND St
Phoenix, AZ 85008-2104

Mailing address

2501 N 32ND St
Phoenix, AZ 85008-2104
Phone (602) 957-6799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1013105915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082104",
            "telephone_number": "602-957-6799",
            "fax_number": "602-957-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082104",
            "telephone_number": "602-957-6799",
            "fax_number": "602-957-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA SURGERY CENTER OF PHOENIX, AZ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "248-553-9800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.