Surgicare Az LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE AZ LLC

Practice address

1153 W Bluebird Dr
Chandler, AZ 85286-7507

Phone

(310) 428-0469

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Ketcher, DNP, FNP-C, CRNA

Title

Owner

Phone

(480) 215-9003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1205420866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 W BLUEBIRD DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 W BLUEBIRD DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867507",
            "telephone_number": "310-428-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "KETCHER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-215-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelia C Surgenor
• Surgical 1St Assists, LLC
• Surgical Assistance LLC
• Surgical Assistant LLC
• Surgical Assistant LLC
• Caitlin Suriano, PA-C
• Arpita Surkunte, MD
• Daniel John Sutton, M.D.
• Peter Randall Sutton, DC
• Robin Sutton, DDS

• Ambulatory Surgical Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.