Active NPI
Affiliated Physicians & Surgeons, LTD
Doing business as Beardsley Surgery Center
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- AFFILIATED PHYSICIANS & SURGEONS, LTD
- Doing business as
- Beardsley Surgery Center
- Practice address
- 20325 N 51St Ave Ste 102-104
Glendale, AZ 85308-5674 - Phone
- (602) 274-1705
- NPI assigned
- Oct 15, 2018
- Last updated
- Oct 15, 2018
- Organization subpart
- Yes
- Parent organization
- AFFILIATED PHYSICIANS & SURGEONS, LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Arias
- Title
- Business Admin
- Phone
- (602) 792-5765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
20325 N 51St Ave Ste 102-104
Glendale, AZ 85308-5674
Mailing address
20325 N 51St Ave Ste 102-104
Glendale, AZ 85308-5674
Other names 1
- Beardsley Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190822000178 | AZ | Part B Supplier - Ambulatory Surgical Center | 7618047200 | Practice locations: Glendale, AZ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1740287168
7618047200
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Affiliated Physicians and Surgeons Dba Beardsley Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2169545 | Affiliated Physicians & Surgeons LTD | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Affiliated Phys Surg LTD
- Part of
- Affiliated Phys Surg LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1740287168
Locations
20325 N 51st Ave
Ste 102104
Glendale, AZ 85308
Phone (602) 274-1705
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1740287168
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Phoenix, AZ
- NPI 1952393761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539561600000",
"number": "1194291401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 102-104",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20325 N 51ST AVE STE 102-104",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085674",
"telephone_number": "602-274-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFILIATED PHYSICIANS & SURGEONS, LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFFILIATED PHYSICIANS & SURGEONS, LTD",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A",
"authorized_official_last_name": "ARIAS",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BUSINESS ADMIN",
"authorized_official_telephone_number": "602-792-5765"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beardsley Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.