Organization Active NPI

Elite Surgical Services, LLC

  • Registered Nurse First Assistant
  • Surprise, AZ
National Provider Identifier
1114686045
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
ELITE SURGICAL SERVICES, LLC
Practice address
14877 W Bell Rd Ste 101
Surprise, AZ 85374-7610
Phone
(602) 717-1547
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Atalia VietorNPI 1508434895
Title
Owner
Phone
(602) 717-1547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WG0000X
Registered Nurse First AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WR0006X Primary
Plastic Surgery Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WS0121X

Addresses

Primary practice location

14877 W Bell Rd Ste 101
Surprise, AZ 85374-7610

Mailing address

17141 W Seldon LN
Waddell, AZ 85355-7578
Phone (602) 717-1547

Other practice location 1

13260 N 94th Dr Ste 200
Peoria, AZ 85381-4240
Phone (602) 717-1547

Other practice location 2

14155 N 83rd Ave Ste 140
Peoria, AZ 85381-5652
Phone (602) 717-1547

Other practice location 3

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 717-1547

Other practice location 4

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (602) 717-1547

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1114686045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17141 W SELDON LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853557578",
            "telephone_number": "602-717-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14877 W BELL RD STE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747610",
            "telephone_number": "602-717-1547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13260 N 94th Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814240",
            "country_code": "US",
            "telephone_number": "602-717-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14155 N 83rd Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815652",
            "country_code": "US",
            "telephone_number": "602-717-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-717-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10401 W Thunderbird Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513004",
            "country_code": "US",
            "telephone_number": "602-717-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "VIETOR",
        "authorized_official_first_name": "ATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-717-1547"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.