Organization Active NPI

Phoenix Unified Surgeons PLLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1285412320
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHOENIX UNIFIED SURGEONS PLLC
Practice address
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone
(480) 707-9504
Fax
(602) 581-7764
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Authorized official

Name
Dr. Debora J Fox-McClary, MD, MBA, FACS, FASCRNPI 1528067949
Title
Managing Partner
Phone
(602) 421-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X
Colon & Rectal Surgery Physician 208C00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901

Mailing address

PO Box 10356
Glendale, AZ 85318-0356
Phone (602) 421-1299

Other practice location 1

19251 E Oasis Dr
Black Canyon City, AZ 85324-8878
Phone (623) 374-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PhoenixUnifiedSurgeons@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214003404 AZ Part B Supplier - Clinic/Group Practice 4486098795 Receives reassigned benefits from 5 practitioners
Practice locations: Black Canyon City, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

20333 N 19th Ave
Ste 230
Phoenix, AZ 85027
Phone (480) 707-9504

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1285412320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10356",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180356",
            "telephone_number": "602-421-1299",
            "fax_number": "602-581-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850279901",
            "telephone_number": "480-707-9504",
            "fax_number": "602-581-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19251 E Oasis Dr",
            "address_purpose": "LOCATION",
            "city": "Black Canyon City",
            "state": "AZ",
            "postal_code": "853248878",
            "country_code": "US",
            "telephone_number": "623-374-0200",
            "fax_number": "623-374-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX UNIFIED SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "FOX-MCCLARY",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-421-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA, FACS, FASCR"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PhoenixUnifiedSurgeons@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20333 N 19th Ave Ste 230",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850279901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.