Scottsdale Surgery Center One LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCOTTSDALE SURGERY CENTER ONE LLC

Practice address

8900 E Raintree Dr
Scottsdale, AZ 85260-7307

Phone

(480) 625-0003

NPI assigned

Mar 19, 2018

Last updated

Apr 3, 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

Pablo Prichard, MDNPI 1558317107

Title

Owner

Phone

(480) 625-0003

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pablo Andres Prichard, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1558317107
  NPD (past) Authorized official
• Kyle Sanniec, MD

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1912340043
  NPD (past)

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1285138081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207427",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E RAINTREE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607307",
            "telephone_number": "480-625-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SURGERY CENTER ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "PRICHARD",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-625-0003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scottsdale Surgery Center
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• Scottsdale Surgical Assist LLC
• Scottsdale Surgical Associates, LLC
• Scottsdale Surgical Center LLC
• Scottsdale Surgical Center, LLC

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, 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 Apr 3, 2018; 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.