Greenwaysurgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GREENWAYSURGERY CENTER LLC

Practice address

2525 W Greenway Rd Ste 100
Phoenix, AZ 85023-4280

Phone

(480) 716-9991

Fax

(480) 716-9991

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Ricker, ESQ

Title

Clo/Coo

Phone

(480) 573-0212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1043095557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234292",
            "telephone_number": "480-716-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234280",
            "telephone_number": "480-716-9991",
            "fax_number": "480-716-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAYSURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CLO/COO",
        "authorized_official_telephone_number": "480-573-0212",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Robert Greenwald, MA, NCSP
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• Michael N Greenwell, MSW, LCSW
• Chelsea Greenwood, FNP
• Laura Taylor Greenwood, LCSW
• Taran Kirkham Greep, D.D.S
• Kyle Matthew Greer, M.D.

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.