Active NPI
Sun City West Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Surprise, AZ
National Provider Identifier
1013195569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Glendale, AZ
- NPI 1447226444
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
- Maria Eleni Sumski, RN
- Sun City Area Interfaith Services, Inc
- Sun City Mobile Diagnostic LLC
- Sun City West Medical Associates
- Sun City West Medical Associates LLC
- Sun Health Corporation
- Sun Health Services
- Sun Health Services
- Sun Health Urgent Care Centers, LLC
- Sun Valley Colon & Rectal Surgery, LTD.
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.