Organization Active NPI

Arizona Surgical Associates, PLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1164821112
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006189 Issued in AZ
Legal business name
ARIZONA SURGICAL ASSOCIATES, PLC
Practice address
9305 W Thomas Rd Ste 480
Phoenix, AZ 85037-3375
Phone
(480) 829-6100
Fax
(480) 446-9475
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Benjamin Moore
Title
Office Manager
Phone
(480) 829-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 006189 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 480
Phoenix, AZ 85037-3375

Mailing address

1855 E Southern Ave BLDG a
Tempe, AZ 85282-5894
Phone (480) 829-6100

Other practice location 1

6261 N La Cholla Blvd Ste 201
Tucson, AZ 85741-3568
Phone (480) 829-6100

Other practice location 2

4860 E Baseline Rd Ste 105
Mesa, AZ 85206-4670
Phone (480) 829-6100

Other practice location 3

16222 N 59th Ave Ste 180
Glendale, AZ 85306-1701
Phone (480) 829-6100

Other practice location 4

1855 E Southern Ave Bldg A
Tempe, AZ 85282-5894
Phone (480) 829-6100

Other practice location 5

1847 E Southern Ave Ste 1
Tempe, AZ 85282-5881
Phone (480) 829-6100

National Provider Directory

National Provider Directory

Locations

1855 E Southern Ave
Bldg A
Tempe, AZ 85282
Phone (480) 829-6100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1164821112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE BLDG A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-829-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 480",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373375",
            "telephone_number": "480-829-6100",
            "fax_number": "480-446-9475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 N La Cholla Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413568",
            "country_code": "US",
            "telephone_number": "480-829-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 E Baseline Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064670",
            "country_code": "US",
            "telephone_number": "480-829-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16222 N 59th Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853061701",
            "country_code": "US",
            "telephone_number": "480-829-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 E Southern Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825894",
            "country_code": "US",
            "telephone_number": "480-829-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1847 E Southern Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825881",
            "country_code": "US",
            "telephone_number": "480-829-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA SURGICAL ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-829-6100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.