NPIMap

Organization Active NPI

Arizona Spine and Joint Hospital LLC

  • General Acute Care Hospital
  • Mesa, AZ
National Provider Identifier
1396745832
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
SH3711 Issued in AZ
Legal business name
ARIZONA SPINE AND JOINT HOSPITAL LLC
Practice address
4620 E. Baseline Road
Mesa, AZ 85206
Phone
(480) 824-1226
Fax
(480) 824-1269
NPI assigned
Jul 27, 2005
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mr. Eric Boon
Title
Officer/Authorized Official
Phone
(480) 567-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X SH3711 AZ Primary

Addresses

Primary practice location

4620 E. Baseline Road
Mesa, AZ 85206

Mailing address

4620 E Baseline Rd
Mesa, AZ 85206-4624
Phone (480) 824-1226

Other identifiers 1

IdentifierTypeStateIssuer
760985MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020917000026 AZ Part A Provider - Hospital 4486561248 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396745832. Details of each certification follow.

Hospital certification: CCN 030107

Legal name
ARIZONA SPINE AND JOINT HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 28, 2003
Last certification
May 9, 2019
Beds
23
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Oct 26, 2000 in AZ
Enrollment address
4620 E Baseline Rd
Mesa, AZ 85206
Other Hospital Practice Location
Hospital subgroups
Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Arizona Spine and Joint HospitalCCN 030107 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
03D1005863Arizona Spine and Joint Hospital4620 E Baseline Rd, Mesa, AZ 85206AccreditationApr 3, 2028

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: alecsundet@asjh.medalliesdirect.net
  • Direct secure messaging: alexandercatton@asjh.medalliesdirect.net
  • Direct secure messaging: alexanderpedenko@asjh.medalliesdirect.net
  • Direct secure messaging: allieligas@asjh.medalliesdirect.net
  • Direct secure messaging: allisonahern@asjh.medalliesdirect.net
  • Direct secure messaging: alyssayamamura@asjh.medalliesdirect.net
  • Direct secure messaging: andrewcorbett@asjh.medalliesdirect.net
  • Direct secure messaging: angelako@asjh.medalliesdirect.net
  • Direct secure messaging: angelasees@asjh.medalliesdirect.net
  • Direct secure messaging: austinsmith@asjh.medalliesdirect.net
  • Direct secure messaging: beckypockl@asjh.medalliesdirect.net
  • Direct secure messaging: benjaminmacqueen@asjh.medalliesdirect.net
  • Direct secure messaging: bernadetteandalkar@asjh.medalliesdirect.net
  • Direct secure messaging: bradenboyer@asjh.medalliesdirect.net
  • Direct secure messaging: bradleyanderson@asjh.medalliesdirect.net
  • Direct secure messaging: brandonsimonetta@asjh.medalliesdirect.net
  • Direct secure messaging: brendanew@asjh.medalliesdirect.net
  • Direct secure messaging: brentsilver@asjh.medalliesdirect.net
  • Direct secure messaging: brentweintrub@asjh.medalliesdirect.net
  • Direct secure messaging: bretlopez@asjh.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
United Surgical Partners International Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12.97%
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2015 6.5%
Earl L Feng Individual 5% Or Greater Indirect Ownership Interest Nov 5, 2000 5.15%
NSH Mesa Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2000
SP Holdco I Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017
National Surgical Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 6, 2000
Eric Boon Individual Corporate Officer Jan 1, 2022
Corporate Director Jan 1, 2022
W-2 Managing Employee Jan 1, 2022
Usp Domestic Holdings Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015
Usp Phoenix Inc Organization, Dallas, TX For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2021 7%
5% Or Greater Indirect Ownership Interest Jul 1, 2015
Operational/Managerial Control Dec 31, 2021
Dignity Health Organization, San Francisco, CA Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015
Bcpe Seminole Holdings, LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Sep 1, 2017
United Surgical Partners Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12.97%
Surgery Partners Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017
Arizona Spine & Joint Physicians LLC Organization, Gilbert, AZ Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Nov 2, 2000 39.25%
Asjh Joint Venture LLC Organization, Dallas, TX Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 51%
Dignity/Usp Phoenix Surgery Centers LLC Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017
Uspi Holding Company Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12.97%
Uspi Group Holdings Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12.97%
Uspi Holdings Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 12.97%
Elizabeth Kearney Individual Corporate Officer Apr 1, 2023
W-2 Managing Employee Apr 1, 2023
HCN Surgery Center Holdings Inc Organization, Dallas, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 6.5%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017
Marc I Dinowitz Individual 5% Or Greater Indirect Ownership Interest Nov 5, 2000 5%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 165

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 165

Practitioners & affiliated clinicians

Practitioners 193

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 193

Affiliated clinicians 62

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1396745832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064624",
            "telephone_number": "480-824-1226",
            "fax_number": "480-824-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E. BASELINE ROAD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-824-1226",
            "fax_number": "480-824-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPINE AND JOINT HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "SH3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760985",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.