Hopco Flagstaff ASC Holdings, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HOPCO FLAGSTAFF ASC HOLDINGS, LLC

Practice address

1840 N Jasper Dr.
Suite 1
Flagstaff, AZ 86001

Phone

(623) 537-5600

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

David Jacofsky, MDNPI 1922040179

Title

Ceo

Phone

(623) 537-5600

Specialties & licenses 1

Addresses

Other names 1

• Elevation Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Hopco Flagstaff ASC Holdings LLC Dba Elevation Surgery CenterCCN 03C0001466

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Center for Orthopedic Research and Education LLC

  • Durable Medical Equipment & Medical Supplies
  • Flagstaff, AZ
  • NPI 1063251056

  Member Of

  NPD member

Practitioners 2

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

• David Joseph Jacofsky, M.D.

  • Surgical Oncology Physician
  • Phoenix, AZ
  • NPI 1922040179
  NPD Authorized official
• Brett Christopher Puckett, MD

  • Orthopaedic Hand Surgery Physician
  • Jacksonville, FL
  • NPI 1831150960
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1356099147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24218 N 22ND ST STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N JASPER DR.",
            "address_2": "SUITE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "623-537-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPCO FLAGSTAFF ASC HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "JACOFSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-537-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Rominger Hong, DO, MPH
• Todd Hooe, PH.D., BCBA, LBA
• William Jonathan Hooker, D.D.S.
• Amanda Joy Hooper
• Nina Hoover
• Hope Lives - Vive la Esperanza
• Hopebridge LLC
• Horizon Healthcare
• Amy Horn, LMT
• Michael James Horn, M.D.

• Ambulatory Surgical Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, 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 May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.