Repro Surgical, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

42873 Issued in AZ

Legal business name

REPRO SURGICAL, LLC

Practice address

8415 N Pima Rd
Suite 291
Scottsdale, AZ 85258-4480

Phone

(919) 641-6024

Fax

(480) 434-6572

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Millie Behera, M.D.

Title

Medical Director

Phone

(919) 641-6024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1376096776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 291",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "919-641-6024",
            "fax_number": "480-434-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "SUITE 291",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "919-641-6024",
            "fax_number": "480-434-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRO SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BEHERA",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-641-6024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "42873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renovation Surgical Assists, LLC
• Janae Nicole Rensvold, FNP
• Krystal Marie Renszel, DO
• Renuka P Kumar DDS
• Bobbie Lynn Repp, RDH
• Remus Repta, MD
• Gregory Reser, MD
• Evan Akiva Reshef, M.D.
• Gary Allen Resnick, PHARMACIST
• Stephen Brian Resnick, DMD

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, 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 Dec 4, 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.