Scottsdale Surgical Assistants Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SCOTTSDALE SURGICAL ASSISTANTS INC

Practice address

4340 E Indian School Rd
Phoenix, AZ 85018-5360

Phone

(480) 545-2610

Fax

(480) 545-2673

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Corey L Thompson, PA-CNPI 1134148513

Title

Owner

Phone

(480) 545-2610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Corey L Thompson, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
  • NPI 1134148513
  Medicare reassignment NPD Authorized official
• Steven M Cocking, PAC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1457430381
  Medicare reassignment NPD
• Tara Marie Lindsey, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1710139894
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1417096272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD",
            "address_2": "STE 21-562",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185360",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185360",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SURGICAL ASSISTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-545-2610",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scottsdale Perinatal Associates LLC
• Scottsdale Spine and Joint, LLC
• Jan Harold Scouten, MDIV
• SCP Chiropractic Inc
• Christian Roy Scranton, PTA
• Aaron Scrignar, BHT
• Cynthia L Scrimager, MACP, MACC, MAHRC

• Surgical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.