Organization Active NPI

Arizona Premier Surgery PLLC

  • Surgery Physician
  • Chandler, AZ
National Provider Identifier
1265800882
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
47277 Issued in AZ
Legal business name
ARIZONA PREMIER SURGERY PLLC
Practice address
485 S Dobson Rd
Suite 115
Chandler, AZ 85224-5602
Phone
(480) 245-4425
Fax
(480) 245-4426
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Albert Amini, M.D.
Title
Owner/Manager
Phone
(480) 245-4425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 47277 AZ Primary

Addresses

Primary practice location

485 S Dobson Rd
Suite 115
Chandler, AZ 85224-5602

Mailing address

485 S Dobson Rd
Suite 115
Chandler, AZ 85224-5602
Phone (480) 245-4425

Other identifiers 1

IdentifierTypeStateIssuer
P20262189OtherAZCORPORATION COMMISSION ID

National Provider Directory

National Provider Directory

Locations

655 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 245-4425

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1265800882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "SUITE 115",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-245-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD",
            "address_2": "SUITE 115",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245602",
            "telephone_number": "480-245-4425",
            "fax_number": "480-245-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PREMIER SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-245-4425",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "47277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION COMMISSION ID",
            "identifier": "P20262189",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.