Surgcenter Northern Phoenix LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGCENTER NORTHERN PHOENIX LLC

Practice address

2611 W Carefree Hwy BLDG E
Phoenix, AZ 85085-8862

Phone

(143) 575-7889

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Keven Burns, MDNPI 1568807022

Title

Ceo

Phone

(480) 747-1321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Surgcenter Northern Phoenix LLCCCN 03C0001460

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keven Scott Burns, MD

  • Orthopaedic Surgery of the Spine Physician
  • Scottsdale, AZ
  • NPI 1568807022
  NPD Authorized official
• Sam Safavi-Abbasi, MD

  • Neurological Surgery Physician
  • Prescott, AZ
  • NPI 1689870990
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1265009005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROAD 3336",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874109101",
            "telephone_number": "435-757-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W CAREFREE HWY BLDG E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858862",
            "telephone_number": "143-575-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER NORTHERN PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-747-1321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidya Surapaneni, M.D
• Francis Paul Surdakowski, MD
• Joseph Norman Surdynski, IDC
• Karla Ann Surdynski, FNP-C
• Surgcenter Camelback LLC
• Surgcenter of Deer Valley, LLC
• Surgeassist, PLLC
• Surgency Physician Assistant PLLC
• Surgery Center of Scottsdale, LLC
• Surgical Healthcare LLC

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 Feb 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.
• 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.

Verify at the official NPI Registry.