NPIMap

Organization Active NPI

Arizona Diagnostic & Surgical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
National Provider Identifier
1073561049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC0072 Issued in AZ
Legal business name
ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC
Practice address
515 N Mesa Dr
Mesa, AZ 85201-5914
Phone
(480) 969-9111
Fax
(480) 969-0095
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Haywood
Title
Chief Financial Officer
Phone
(480) 844-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC0072 AZ Primary

Addresses

Primary practice location

515 N Mesa Dr
Mesa, AZ 85201-5914

Mailing address

515 N Mesa Dr
Mesa, AZ 85201-5914
Phone (480) 969-9111

Other identifiers 2

IdentifierTypeStateIssuer
504440MedicaidAZ
60968OtherAZBLUE CROSS PROVIDER NUMBE

Other names 1

  • Iasis Healthcare Corporation Other name

National Provider Directory

National Provider Directory

Locations

545 N Mesa Dr
Mesa, AZ 85201
Phone (480) 461-4407

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073561049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015914",
            "telephone_number": "480-969-9111",
            "fax_number": "480-969-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MESA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015914",
            "telephone_number": "480-969-9111",
            "fax_number": "480-969-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "480-844-6226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC0072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504440",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "60968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iasis Healthcare Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.