Arizona Advanced Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ARIZONA ADVANCED SURGERY LLC

Practice address

2320 N 3Rd St
Phoenix, AZ 85004-1303

Phone

(602) 258-9900

Fax

(602) 258-9904

NPI assigned

Jan 13, 2020

Last updated

Jul 15, 2024By 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

Charles E Castillo, MDNPI 1003836644

Title

Managing Member

Phone

(602) 258-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Practitioners 147

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.

• Charles E Castillo, MD

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1003836644
  Medicare reassignment Care Compare group NPD Authorized official
• Allen A Agapay, MD

  • Surgery Physician
  • Glendale, AZ
  • NPI 1962401117
  Medicare reassignment Care Compare group NPD
• Aisha Akhtar

  • Colon & Rectal Surgery Physician
  • Phoenix, AZ
  • NPI 1316314909
  Medicare reassignment Care Compare group NPD
• Basil Al Khatib, M.D.

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1083977599
  Medicare reassignment Care Compare group NPD
• Lindsay Bartholome, M.D.

  • Surgery Physician
  • Mesa, AZ
  • NPI 1194016790
  Medicare reassignment Care Compare group NPD
• Raghad Batarseh, NP

  • Primary Care Nurse Practitioner
  • Sun City West, AZ
  • NPI 1710794599
  Medicare reassignment Care Compare group NPD
• Nathan E Bodily, M.D.

  • Surgery Physician
  • Gilbert, AZ
  • NPI 1225491558
  Medicare reassignment Care Compare group NPD
• Colin Bohannan, MD

  • Surgical Critical Care Physician
  • Mesa, AZ
  • NPI 1760846570

  Surgery

  Medicare reassignment Care Compare group NPD
• Ravia Bokhari, M.D.

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1497959589
  Medicare reassignment Care Compare group NPD
• Jeromy Brink, MD

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1003876269
  Medicare reassignment Care Compare group NPD
• Maria Fe Briones, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1861214181
  Medicare reassignment Care Compare group NPD
• Lynn Joseph Calcote, MD

  • Colon & Rectal Surgery Physician
  • Scottsdale, AZ
  • NPI 1457518011
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1346880838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303",
            "telephone_number": "602-649-2007",
            "fax_number": "602-258-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303",
            "telephone_number": "602-258-9900",
            "fax_number": "602-258-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADVANCED SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-258-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Addiction Treatment LLC (Arizona Addiction Treatment)
• Arizona Advanced Aesthetics PLLC
• Arizona Advanced Digestive Care
• Arizona Advanced Heart & Lung Specialists LLC
• Arizona Advanced Internal Medicine, PLLC
• Arizona Allergy and Asthma Specialists P C
• Arizona Allergy and Asthma Specialists PC
• Arizona Ally Medical PLLC
• Arizona Altruistic Associates Corporation (Azaa)
• Arizona American Hospice LLC

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.