Organization Active NPI

Emergency Surgical Assistants LLC

  • Colon & Rectal Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1366956377
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
EMERGENCY SURGICAL ASSISTANTS LLC
Practice address
1815 E Meadowbrook Ave
Phoenix, AZ 85016-5114
Phone
(631) 827-8159
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Mathew James
Title
Patient Accounts
Phone
(631) 827-8159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

1815 E Meadowbrook Ave
Phoenix, AZ 85016-5114

Mailing address

1815 E Meadowbrook Ave
Phoenix, AZ 85016-5114
Phone (631) 827-8159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1366956377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E MEADOWBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165114",
            "telephone_number": "631-827-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E MEADOWBROOK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165114",
            "telephone_number": "631-827-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "631-827-8159"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.