Organization Active NPI

Surgency Physician Assistant PLLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1184894768
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGENCY PHYSICIAN ASSISTANT PLLC
Practice address
3145 E Chandler Blvd # 110-207
Phoenix, AZ 85048-8702
Phone
(602) 615-9082
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Paula Richardson, PA-CNPI 1124059852
Title
Owner
Phone
(602) 615-9082

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3145 E Chandler Blvd # 110-207
Phoenix, AZ 85048-8702

Mailing address

3145 E Chandler Blvd # 110-207
Phoenix, AZ 85048-8702
Phone (602) 615-9082

National Provider Directory

National Provider Directory

Locations

3145 E Chandler Blvd
#110207
Phoenix, AZ 85048
Phone (602) 615-9082

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1184894768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD # 110-207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "602-615-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD # 110-207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "602-615-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGENCY PHYSICIAN ASSISTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-615-9082",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Jul 3, 2008; 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.