Organization Active NPI

Tahir Surgical Clinic PA

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1245232040
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TAHIR SURGICAL CLINIC PA
Doing business as
Hemorrhoid Clinic of AZ
Practice address
4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone
(480) 854-8124
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. Syed Zubair Tahir, M.D.NPI 1356341986
Title
President
Phone
(480) 854-8124

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

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680

Mailing address

4824 E Baseline Rd Ste 140
Mesa, AZ 85206-4680
Phone (480) 854-8124

Other names 1

  • Hemorrhoid Clinic of AZ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001419 AZ Part B Supplier - Clinic/Group Practice 6901899392 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

5656 S Power Rd
Ste B116
Gilbert, AZ 85295
Phone (480) 854-8124

5656 S Power Rd
Ste 116
Gilbert, AZ 85295
Phone (480) 840-3636

7525 E Broadway Rd
Ste 8
Mesa, AZ 85208
Phone (480) 854-8124

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1245232040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-854-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BASELINE RD STE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064680",
            "telephone_number": "480-854-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHIR SURGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ZUBAIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-854-8124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemorrhoid Clinic of AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.