Organization Active NPI

Central Arizona Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1386000495
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRAL ARIZONA SURGERY CENTER
Practice address
1653 E McMurray Blvd
Suite 141
Casa Grande, AZ 85122-5934
Phone
(520) 836-8644
Fax
(480) 359-3892
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. George Roger Edelen, MD
Title
Owner/Doctor
Phone
(520) 836-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1653 E McMurray Blvd
Suite 141
Casa Grande, AZ 85122-5934

Mailing address

1653 E. McMurray Blvd
Ste 141
Casa Grande, AZ 85122-5934
Phone (520) 233-6502

Other practice location 1

412 Whipple St
Prescott, AZ 86301-1712
Phone (480) 788-5621

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2147294Central Arizona Surgery Center1653 E McMurray Blvd Ste 141, Casa Grande, AZ 85122Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1386000495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 E. MCMURRAY BLVD",
            "address_2": "STE 141",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225934",
            "telephone_number": "520-233-6502",
            "fax_number": "520-233-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 E MCMURRAY BLVD",
            "address_2": "SUITE 141",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225934",
            "telephone_number": "520-836-8644",
            "fax_number": "480-359-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Whipple St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011712",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL ARIZONA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "EDELEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "520-836-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.