United Surgical Associates, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC 3418 Issued in AZ

Legal business name

UNITED SURGICAL ASSOCIATES, L.L.C.

Doing business as

United Surgery Center

Practice address

651 W Mingus Ave
Suite 2a
Cottonwood, AZ 86326-4006

Phone

(928) 649-4480

Fax

(928) 634-8118

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Smithson, R.N.

Title

Administrator

Phone

(928) 649-4480

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• UNITED SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265572606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W MINGUS AVE",
            "address_2": "SUITE 2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264006",
            "telephone_number": "928-649-4480",
            "fax_number": "928-634-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W MINGUS AVE",
            "address_2": "SUITE 2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264006",
            "telephone_number": "928-649-4480",
            "fax_number": "928-634-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGICAL ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-649-4480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC 3418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "AZ0208760",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tribe Wellness Group PLLC
• Ranae Kathleen Trudeau, COTA
• Shannen Renee Trujillo, SLPA
• Jacalyn Tucker, PHARM D
• Daniel Tutelman, PHARMD
• Jaime Upegui-Gomez, M.D.
• Urology Providers of Northern Arizona
• Urololgy Providers of Northern Arizona
• Kevin K Vakili, MD
• Thomas Joseph Valente, M.D.

• Ambulatory Surgical Clinic/Center in Cottonwood, AZ
• Providers in Cottonwood, 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 Aug 22, 2020; 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.