Organization Active NPI

Para Surgical Specialists, PLLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1285927574
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
022450 Issued in AZ
Legal business name
PARA SURGICAL SPECIALISTS, PLLC
Practice address
9515 W. Camelback Rd
Suite 132
Phoenix, AZ 85037-0000
Phone
(623) 247-4900
Fax
(623) 247-4908
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Daniel John Para, MD, FACSNPI 1205830684
Title
Physician/Owner
Phone
(623) 247-4900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 022450 AZ Primary

Addresses

Primary practice location

9515 W. Camelback Rd
Suite 132
Phoenix, AZ 85037-0000

Mailing address

9515 W. Camelback Rd
Suite 132
Phoenix, AZ 85037-0000
Phone (623) 247-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000871 AZ Part B Supplier - Clinic/Group Practice 8123299369 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1285927574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W. CAMELBACK RD",
            "address_2": "SUITE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370000",
            "telephone_number": "623-247-4900",
            "fax_number": "623-247-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W. CAMELBACK RD",
            "address_2": "SUITE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370000",
            "telephone_number": "623-247-4900",
            "fax_number": "623-247-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARA SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "PARA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "623-247-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "022450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 19, 2012; 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.