Organization Active NPI

Chandler Surgical Center PLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
National Provider Identifier
1093349573
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHANDLER SURGICAL CENTER PLC
Practice address
600 S Dobson Rd Ste B16
Chandler, AZ 85224-5689
Phone
(480) 591-5000
Fax
(480) 800-0444
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Dan I Sraow, MD
Title
Medical Director
Phone
(480) 591-5000

Specialties & licenses 1

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

Addresses

Primary practice location

600 S Dobson Rd Ste B16
Chandler, AZ 85224-5689

Mailing address

600 S Dobson Rd Ste B16
Chandler, AZ 85224-5689
Phone (480) 591-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001187 AZ Part B Supplier - Ambulatory Surgical Center 6901217256 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

Ambulatory surgical center certification: CCN 03C0001446

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHANDLER SURGICAL CENTER, PLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 23, 2021
Last certification
Dec 23, 2021
Ownership / control type
Proprietary
Facility address
600 South Dobson Road, Suite B16
Chandler, AZ 85224

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2211250Chandler Surgical Center, PLC600 S Dobson Rd Ste B16, Chandler, AZ 85224ComplianceNov 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1093349573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE B16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245689",
            "telephone_number": "480-591-5000",
            "fax_number": "480-800-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE B16",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245689",
            "telephone_number": "480-591-5000",
            "fax_number": "480-800-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER SURGICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SRAOW",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-591-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.