Active NPI
North Scottsdale Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1144333881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC 3647
- 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, 2022
- 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
- Aric Burke
- Title
- Officer/Director
- Phone
- (480) 689-8403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912669 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1024741 | North Scottsdale Ambulatory Surgery | Certificate of waiver | Apr 19, 2028 |
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.
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1255304655
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
- North Desert Surgery Center
- North Mountain Dental Group, PC
- North Ridge Counseling LLC
- North Scottsdale Acupuncture PLLC
- North Scottsdale Allergy Associates
- North Scottsdale Behavioral Health, P.C.
- North Scottsdale Children's Dentistry
- North Scottsdale Children's Dentistry & Orthodontics
- North Scottsdale Dental Associates, PLLC
- North Scottsdale Endodontics (Thomas V McClammy, DMD, MS)
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.