Maryvale Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARYVALE SURGERY CENTER, LLC

Practice address

7141 W Thomas Rd Ste 101
Phoenix, AZ 85033-5518

Phone

(602) 549-2225

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Alex Bigham, DC

Title

Member

Phone

(602) 549-2225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1104418771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE C2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252915",
            "telephone_number": "602-549-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 W THOMAS RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335518",
            "telephone_number": "602-549-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-549-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryvale Facility Group LLC
• Maryvale Family Practice Group Inc.
• Maryvale Medical LLC
• Maryvale Pediatric Clinic
• Maryvale Pharmacy Inc
• Nicole Ann Marzan, AU.D.
• David Francis Marzano
• Marissa Marzella, FNP
• Anissa Marzuki, PHARM.D.
• Kaitlyn Masai, PH.D.

• 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 Feb 5, 2021; 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.