Swan Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000 Issued in AZ

Legal business name

SWAN SURGERY CENTER, LLC

Practice address

1505 N Swan Rd # 101
Tucson, AZ 85712-4044

Phone

(520) 795-3090

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fadi DeebNPI 1497729248

Title

Owner

Phone

(520) 795-3090

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Swan Surgery Center LLCCCN 03C0001391

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

Locations

Practitioners 3

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

• Fadi Deeb, MD

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1497729248
  NPD Authorized official
• Tina Marie Carr, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1144089038
  NPD (past)
• Laura Kay Lesko, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1023010477
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1376998666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124078",
            "telephone_number": "520-795-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N SWAN RD # 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124044",
            "telephone_number": "520-795-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-795-3090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amani Swailem-Gamez
• Karen Swaim, MS CCC-SLP
• John Swain, MD
• Swan Clinic of Natural Healing
• Swan Gastroenterology, P.C.
• Janet Swan, PA-C
• Michael Kent Swan, DMD
• Carol Ann Swanson, MD
• Magnolia Rose Howes Swanson
• Marco Swanson, MD

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, 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 Feb 18, 2020; 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.