North Mountain Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH MOUNTAIN SURGERY CENTER, LLC

Practice address

9250 N 3Rd St
Suite 101
Phoenix, AZ 85020

Phone

(602) 903-0360

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan L Nance, RN, CNOR, CASC

Title

Executive Director

Phone

(602) 903-0360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 03C0001320

Legal name

HONORHEALTH OUTPATIENT SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 27, 2009

Last certification

Mar 6, 2019

Ownership / control type

Proprietary

Facility address

9250 North 3Rd Street, Suite 1001
Phoenix, AZ 85020

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Singer, MD

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1073541017
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1073709689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47510",
            "address_2": "9250 N 3RD ST SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687510",
            "telephone_number": "602-903-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-903-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MOUNTAIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-903-0360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CNOR, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mountain Healthcare LLC
• North Mountain Imaging Specialists, LLC
• North Mountain Imaging Specialists, LLC
• North Mountain Imaging Specialists, LLC
• North Mountain Laboratory
• North Phoenix Anesthesiologists LTD
• North Phoenix ASC LLC
• North Phoenix Chiropractic, LLC
• North Phoenix Counseling
• North Phoenix Dental Studio PLLC

• 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 Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.