Organization Active NPI

North Scottsdale Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1144333881
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC 3647 Issued in AZ
Legal business name
NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, LLC
Practice address
9439 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4573
Phone
(480) 355-3750
Fax
(480) 355-3753
NPI assigned
Aug 16, 2006
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Aric Burke
Title
Officer/Director
Phone
(480) 689-8403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC 3647 AZ Primary

Addresses

Primary practice location

9439 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4573

Mailing address

9439 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4573
Phone (480) 355-3750

Other identifiers 1

IdentifierTypeStateIssuer
912669MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000847 AZ Part B Supplier - Ambulatory Surgical Center 6507816865 Practice locations: Scottsdale, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
North Scottsdale Ambulatory Surgery Center LLCCCN 03C0001275
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1024741North Scottsdale Ambulatory Surgery9439 East Ironwood Square Dr, Scottsdale, AZ 85258Certificate of waiverApr 19, 2028

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1144333881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9439 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584573",
            "telephone_number": "480-355-3750",
            "fax_number": "480-355-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9439 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584573",
            "telephone_number": "480-355-3750",
            "fax_number": "480-355-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "480-689-8403"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC 3647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912669",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.