NPIMap

Organization Active NPI

East Valley Surgical Associates,PLLC

  • Specialist
  • Gilbert, AZ
National Provider Identifier
1366501405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35956 Issued in AZ
Legal business name
EAST VALLEY SURGICAL ASSOCIATES,PLLC
Practice address
1501 N Gilbert Rd
207
Gilbert, AZ 85234-2390
Phone
(480) 633-0202
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard D. Oh, MD
Title
Owner
Phone
(480) 633-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35956 AZ Primary

Addresses

Primary practice location

1501 N Gilbert Rd
207
Gilbert, AZ 85234-2390

Mailing address

1501 N Gilbert Rd
207
Gilbert, AZ 85234-2390
Phone (480) 633-0202

National Provider Directory

National Provider Directory

Locations

1501 N Gilbert Rd
Ste 207
Gilbert, AZ 85234
Phone (480) 389-1061

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD",
            "address_2": "207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342390",
            "telephone_number": "480-633-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD",
            "address_2": "207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342390",
            "telephone_number": "480-633-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY SURGICAL ASSOCIATES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-633-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "35956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.