Specialty Surgery Clinics of Arizona Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SPECIALTY SURGERY CLINICS OF ARIZONA INC

Practice address

13841 W McDowell Rd Ste 400
Goodyear, AZ 85395

Phone

(602) 837-7400

NPI assigned

Sep 30, 2024

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fahim HabibNPI 1659336857

Title

MD

Phone

(786) 493-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Fahim A. Habib, MD

  • Surgical Critical Care Physician
  • Phoenix, AZ
  • NPI 1659336857

  Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1134947187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 S WASHINGTON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852868128",
            "telephone_number": "602-837-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 W MCDOWELL RD STE 400",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "602-837-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGERY CLINICS OF ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-493-2090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Dental Center, Inc (Sun West Dental Center)
• Southwest Kidney Davita Dialysis Partners, LLC (Dialysis Care at Palm Valley)
• Southwest Valley Surgical Associates, PLLC
• Colleen Rose Spargur, PA-C
• Lori Ann Sparks Corgan, RN
• Speliz Healthcare LLC
• Sheena Spence, M.D.
• Matthew Ryan Spenla, CRNA
• Stephanie Sperrazza
• Jennifer Lou Spicer, DMSC, PA-C

• Surgery Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.