Scottsdale Surgical Specialists LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35096 Issued in AZ

Legal business name

SCOTTSDALE SURGICAL SPECIALISTS LLC

Practice address

14256 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3954

Phone

(480) 212-1185

Fax

(480) 212-1186

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kumash R Patel, MD

Title

Member

Phone

(480) 212-1185

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1063538072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603953",
            "telephone_number": "480-212-1185",
            "fax_number": "480-212-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603954",
            "telephone_number": "480-212-1185",
            "fax_number": "480-212-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SURGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUMASH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-212-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "35096",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "35096",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "AZ",
            "license": "35096",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "AZ",
            "license": "35096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093479",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scottsdale Surgical Partners LLC (North Scottsdale Anesthesia)
• Scottsdale Surgical Solutions PC
• Scottsdale Therapy Collective LLC
• Scottsdale TMS Clinic LLC (American TMS Clinics)
• Scottsdale TMS LLC
• Scottsdale Trails Dentistry, LLP (Scottsdale Trails Dentistry)
• Scottsdale Training and Rehabilitation Services Inc

• Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.