Precision Surgical LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22292 Issued in AZ

Legal business name

PRECISION SURGICAL LLC

Practice address

4250 E Camelback Rd
Ste K105
Phoenix, AZ 85018-8301

Phone

(602) 559-9310

Fax

(602) 559-9311

NPI assigned

Apr 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Chamberlain III, M.D.

Title

President

Phone

(602) 559-9310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8664/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Randall Scott Widmaier, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1770548554
  NPD (past)

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1285053702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "STE 106-610",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606687",
            "telephone_number": "602-559-9310",
            "fax_number": "602-559-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E CAMELBACK RD",
            "address_2": "STE K105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850188301",
            "telephone_number": "602-559-9310",
            "fax_number": "602-559-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-559-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "22292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Precision Oral and Maxillofacial Surgery
• Precision Spinal Fitness LLC
• Precision Trials Az, LLC
• Precision Urology PLLC
• Precision Urology PLLC
• Preferred Anesthesia Services LLC
• Preferred Care Solutions LLC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.