Akdhc Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AKDHC SURGERY CENTER, LLC

Practice address

3600 W Tangerine Rd, Suite 100
Marana, AZ 85658

Phone

(520) 547-2468

Fax

(520) 547-2471

NPI assigned

Jul 2, 2018

Last updated

Aug 10, 2018By 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

Ms. Adonis Escobedo

Title

Credentialing Manager

Phone

(602) 759-6883

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Arizona Kidney Disease and Hypertension Center Dba AkdhcCCN 03C0001405

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Akdhc, LLC

  • Nephrology Physician
  • Prescott, AZ
  • NPI 1720269053

  Member Of

  NPD member

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1285120352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W TANGERINE RD, SUITE 100",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "85658",
            "telephone_number": "520-547-2468",
            "fax_number": "520-547-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKDHC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-759-6883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244929",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Abdelmalek, MD
• Christina Affholder
• Agave Behavioral Health, LLC
• Akdhc, LLC
• Akdhc,LLC
• Barierane Akeeh, DDS
• Katrina Alt, DMD
• Amazing Senior Care

• Ambulatory Surgical Clinic/Center in Marana, AZ
• Providers in Marana, 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 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.