Aims Outpatient Surgery
Organization Active NPI Ambulatory Surgical Clinic/Center · Kingman, AZ
NPI 1063408649 · NPPES record last updated Jun 4, 2018
Key facts
- NPI
- 1063408649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- OSC0074 (AZ)
- Legal business name
- AIMS OUTPATIENT SURGERY
- Practice address
- 3636 N Stockton Hill Rd
Kingman, AZ 86409 - Phone
- (928) 757-3690
- Fax
- (928) 757-3635
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Azam S. Khan
- Title
- Chief Administrative Officer
- Phone
- (928) 757-3636
Practitioners 5
-
Israel Coronado, C.R.N.A.
-
Eddie A Ramirez, M.D.
-
Charmaine M. Kovacs, CRNA
-
Norman K. Weinstein, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Aims Outpatient Surgery
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2044249 | Aims Outpatient Surgery | Certificate of waiver | Jul 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091214000704 | AZ | Part B Supplier - Ambulatory Surgical Center | 4981744497 |
Receives reassigned benefits from 5 practitioners Practice locations: Kingman, AZ |
National Provider Directory
Locations
3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3636
Interoperability endpoints
- https://api.platform.athenahealth.com/13192/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OSC0074 | AZ | Yes |
Addresses
Primary practice location
3636 N Stockton Hill Rd
Kingman, AZ 86409
Mailing address
3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155590 | Medicaid | AZ | |
| OSC-0074 | Other | AZ | MEDICAL FACILITY LICENSE |
Other providers in Kingman, AZ
- Affordable Hearing Care
- Amit Agarwal
- Geovar Agbayani
- Shagun Ganesh Agrawal
- Suleman S Ahmed
- Aims Physicians and Surgeons
- Anthonia Ajao
- Akdhc, LLC
- Akdhc,LLC
- Robert A Albani
All providers in Kingman, AZ · Ambulatory Surgical Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.