JCL Surgery, LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

JCL SURGERY, LLC

Doing business as

North Valley Surgery

Practice address

3201 W Peoria Ave
Suite C500
Phoenix, AZ 85029-4608

Phone

(602) 298-6516

Fax

(602) 298-2347

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Gary R Grover

Title

Sr. Vice President

Phone

(602) 216-6687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Valley Surgery Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1023693207

  Member Of

  NPD member

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1215975966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE C500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-298-6516",
            "fax_number": "602-298-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE C500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "602-298-6516",
            "fax_number": "602-298-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6687"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093479",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JCK Medical Transportation
• JCL Gastroenterology, LLC
• JCL Gastroenterology, LLC
• JCL Gastroenterology, LLC
• JCL Neurology,LLC
• JD Gross Medical Corporation
• Jdphysicaltherapy LLC
• JDS Home Care LLC
• Cassandra Jean Jean Lopez
• Alethea Jean Philippe, PT, DPT

• Trauma Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Trauma Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.