Organization Active NPI

Doctors Outpatient Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
National Provider Identifier
1144465410
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC4604 Issued in AZ
Legal business name
DOCTORS OUTPATIENT SURGICAL CENTER
Practice address
2155 E Conference Dr
Suite 111
Tempe, AZ 85284-2604
Phone
(480) 839-2020
Fax
(480) 839-2121
NPI assigned
Dec 15, 2008
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Ben C Eubank, DC
Title
Administrator
Phone
(480) 839-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC4604 AZ Primary

Addresses

Primary practice location

2155 E Conference Dr
Suite 111
Tempe, AZ 85284-2604

Mailing address

2155 E Conference Dr
Suite 111
Tempe, AZ 85284
Phone (480) 839-2020

Other identifiers 1

IdentifierTypeStateIssuer
03-C0001321OtherAZCMS CERTIFICATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1144465410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "480-839-2020",
            "fax_number": "480-839-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842604",
            "telephone_number": "480-839-2020",
            "fax_number": "480-839-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OUTPATIENT SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "EUBANK",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-839-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC4604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION",
            "identifier": "03-C0001321",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.