Organization Active NPI

Sun City West Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Surprise, AZ
National Provider Identifier
1013195569
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SUN CITY WEST SURGERY CENTER, LLC
Practice address
12361 W Bola Dr
Suite 112
Surprise, AZ 85374-9019
Phone
(405) 285-7500
Fax
(405) 285-7501
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Ms. Fay E Wells
Title
Director of Clinical Development
Phone
(405) 623-7743

Specialties & licenses 1

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

Addresses

Primary practice location

12361 W Bola Dr
Suite 112
Surprise, AZ 85374-9019

Mailing address

12361 W Bola Dr
Suite 112
Surprise, AZ 85374-9019

Other names 1

  • Desert Mirage Surgery Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1013195569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749019",
            "telephone_number": "405-285-7500",
            "fax_number": "405-285-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY WEST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "FAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL DEVELOPMENT",
        "authorized_official_telephone_number": "405-623-7743",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Mirage Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.