Active NPI
Surgical Ally, LLC
Doing business as Surgical Ally
- Surgical Physician Assistant
- Surprise, AZ
National Provider Identifier
1215730494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SURGICAL ALLY, LLC
- Doing business as
- Surgical Ally
- Practice address
- 16193 W Davis Rd
Surprise, AZ 85374-5749 - Phone
- (602) 918-4351
- NPI assigned
- Mar 31, 2025
- Last updated
- Mar 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer L Banda, CSFA
- Title
- Owner
- Phone
- (602) 918-4351
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
16193 W Davis Rd
Surprise, AZ 85374-5749
Mailing address
16193 W Davis Rd
Surprise, AZ 85374-5749
Phone (602) 918-4351
Other names 1
- Surgical Ally
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1215730494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16193 W DAVIS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745749",
"telephone_number": "602-918-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16193 W DAVIS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745749",
"telephone_number": "602-918-4351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ALLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "BANDA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-918-4351",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgical Ally",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Surprise, AZ
- Sunrise Primary Care Partners PLLC
- Sunrose Anesthesia PLLC
- Sunshine Smiles Orthodontics LLC (Surprise Pediatric Dentistry and Orthodontics)
- Sunwest Dental Center IV, LLC (Sunwest Dental Center)
- Supreme Healthcare LLC
- Nicole Surman, PA
- Surprise Behavioral Health LLC
- Surprise Behavioral Hospital LP
- Surprise Care PLLC
- Surprise Chiropractic Group, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.