Emprise Surgical Associate PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1480 Issued in AZ

Legal business name

EMPRISE SURGICAL ASSOCIATE PLLC

Practice address

7846 E Vista Bonita Dr
Scottsdale, AZ 85255-4123

Phone

(480) 860-1045

Fax

(480) 664-8889

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Samuel David McReynolds, PA-CNPI 1902832652

Title

Physician Assistant

Phone

(480) 860-1045

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel D. McReynolds, PA-C

  • Surgical Physician Assistant
  • Grants Pass, OR
  • NPI 1902832652
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1144364795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 E VISTA BONITA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554123",
            "telephone_number": "480-860-1045",
            "fax_number": "480-664-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 E VISTA BONITA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554123",
            "telephone_number": "480-860-1045",
            "fax_number": "480-664-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRISE SURGICAL ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "480-860-1045",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Walter PA-C
• Emoticare LLC
• Tiffani Empey, MS, BCBA
• Empower You Experts, PC
• Empowerme Rehabilitation, LLC
• Shahram Emrani, M.D.
• Grecia Encinas, LAC
• Encompass Health Rehabilitation Hospital of Scottsdale, LLC
• Encore Vision Centers, LLC
• Encouraging Hand Counseling Center, LLC.

• Surgical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.