Active NPI
Elite Surgical Services, LLC
- Registered Nurse First Assistant
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- 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, 2021
- 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
- Atalia Vietor
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | |||
| Registered Nurse First Assistant | 163WR0006X | Primary | ||
| Plastic Surgery Registered Nurse | 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 DirectoryPractitioners & 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.
-
- Registered Nurse First Assistant
- Surprise, AZ
- NPI 1508434895
General Practice
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.