Surgical Assistants of Arizona

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

3932 Issued in MI

Legal business name

SURGICAL ASSISTANTS OF ARIZONA

Practice address

320 Buccaneer LN
Lake Havasu City, AZ 86406-6945

Phone

(313) 778-4144

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Michael Ismail Ismail

Title

Surgical Assistant

Phone

(313) 778-4144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1356887137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BUCCANEER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864066945",
            "telephone_number": "313-778-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BUCCANEER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864066945",
            "telephone_number": "313-778-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MICHAEL ISMAIL",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "313-778-4144"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "3932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunflowers Home Health Care
• Sunhaven Assisted Living
• Sunrise Family Healthcare Inc
• Sunrise Hospice LHC, LLC
• Surgical Assistant Associates LLC
• Pamela Joy Swanson, MED, LPC
• Frank Palmer Sweet, N.M.D.
• Rodolphe Taby, M.D.
• Daniel W Talley, D.C.
• Sarah J Tarr, RN

• Community Health Worker in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.