Organization Active NPI

Surgitech Centers, Inc

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1184814402
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGITECH CENTERS, INC
Practice address
7301 E 2ND St Ste 202
Scottsdale, AZ 85251-5610
Phone
(480) 994-5977
Fax
(480) 990-9397
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Richard P Jacoby, DPMNPI 1134106420
Title
Owner
Phone
(480) 994-5977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7301 E 2ND St Ste 202
Scottsdale, AZ 85251-5610

Mailing address

7301 E 2ND St Ste 202
Scottsdale, AZ 85251-5610
Phone (480) 994-5977

Other identifiers 2

IdentifierTypeStateIssuer
201582300OtherAZUS DEPT OF LABOR
200000AOtherAZCIGNA HEALTH CARE

National Provider Directory

National Provider Directory

Locations

7301 E 2nd St
Ste 202
Scottsdale, AZ 85251
Phone (480) 420-4243

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1184814402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "480-994-5977",
            "fax_number": "480-990-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515610",
            "telephone_number": "480-994-5977",
            "fax_number": "480-990-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGITECH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-994-5977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "201582300",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "200000A",
            "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 Apr 10, 2009; 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.