Perimeter Road Surgical Hospital, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

SH7391 Issued in AZ

Legal business name

PERIMETER ROAD SURGICAL HOSPITAL, LLC

Practice address

17500 N Perimeter Dr
Scottsdale, AZ 85255-7808

Phone

(480) 586-2300

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

David Kreye

Title

Regional Chief Executive Officer

Phone

(713) 355-8614

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Liberty Hospital Doing business as

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1134592546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 KATY FWY",
            "address_2": "300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557808",
            "telephone_number": "480-586-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER ROAD SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "KREYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGIONAL CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-355-8614"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "SH7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Liberty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Special Hospital in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Special Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.