Organization Active NPI

Phoenix Unified Surgeons

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1417828609
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PHOENIX UNIFIED SURGEONS
Practice address
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone
(480) 707-9504
Fax
(602) 581-7764
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Makayla Williams
Title
Front Office/Billing
Phone
(480) 707-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901

Mailing address

20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone (480) 707-9504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1417828609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850279901",
            "telephone_number": "480-707-9504",
            "fax_number": "602-581-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850279901",
            "telephone_number": "480-707-9504",
            "fax_number": "602-581-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX UNIFIED SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MAKAYLA",
        "authorized_official_title_or_position": "FRONT OFFICE/BILLING",
        "authorized_official_telephone_number": "480-707-9504"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.