Active NPI
Desert General Surgeons LTD
- Surgery Physician
- Chandler, AZ
National Provider Identifier
1104837855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DESERT GENERAL SURGEONS LTD
- Practice address
- 485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5602 - Phone
- (480) 985-1093
- Fax
- (480) 985-0468
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar Hernandez, MD
- Title
- President
- Phone
- (480) 985-1093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5602
Mailing address
485 S Dobson Rd
Suite 105
Chandler, AZ 85224-5602
Phone (480) 985-1093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN3231 | Other | AZ | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1955 W Frye Rd
Ste 105
Chandler, AZ 85224
Phone (480) 728-4300
1727 W Frye Rd
Ste 140
Chandler, AZ 85224
Phone (480) 619-4097
3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Gilbert, AZ
- NPI 1427078708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1104837855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 S DOBSON RD",
"address_2": "SUITE 105",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245602",
"telephone_number": "480-985-1093",
"fax_number": "480-985-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S DOBSON RD",
"address_2": "SUITE 105",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245602",
"telephone_number": "480-985-1093",
"fax_number": "480-985-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT GENERAL SURGEONS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-985-1093",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CN3231",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.