Organization Active NPI

Az Neuro Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1063377828
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AZ NEURO SURGICAL CENTER LLC
Practice address
1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
Phone
(928) 395-3296
Fax
(928) 395-4007
NPI assigned
Dec 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Kimberly Geis
Title
Billing Manager
Phone
(800) 407-1744

Specialties & licenses 1

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

Addresses

Primary practice location

1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217

Mailing address

1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
Phone (928) 395-3296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1063377828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296",
            "fax_number": "928-395-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296",
            "fax_number": "928-395-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ NEURO SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "GEIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "800-407-1744"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.