Sonoran Surgical PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5499 Issued in AZ

Legal business name

SONORAN SURGICAL PLLC

Practice address

2502 S Cottonwood Dr
Tempe, AZ 85282-3071

Phone

(480) 376-4494

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Ethan E Meyer, PA-C

Title

Physician Assistant

Phone

(480) 376-4494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1306249420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823071",
            "telephone_number": "480-376-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823071",
            "telephone_number": "480-376-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "480-376-4494",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Song Kai Massage PLLC
• Sonora Quest Laboratories LLC
• Sonoran Care Services LLC
• Sonoran Physical Therapy
• Sonoran Spine Center P.C.
• Sonoran University of Health Sciences
• Kameron Soper
• Scott H. Sorensen, P.A.-C
• Kimberly Soricone
• Alejandra Soto, RBT

• Surgical Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.