NPIMap

Organization Active NPI

Surgical Physicians Assistants Inc

  • Surgical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1417984501
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL PHYSICIANS ASSISTANTS INC
Practice address
4135 S Power Rd
Suite 120
Mesa, AZ 85212-3624
Phone
(480) 545-2610
Fax
(480) 545-2673
NPI assigned
Jun 26, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Devin L Gray, MDNPI 1134154941
Title
Owner
Phone
(480) 545-2610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

4135 S Power Rd
Suite 120
Mesa, AZ 85212-3624

Mailing address

2558 S Riata CT
Gilbert, AZ 85296-5948
Phone (480) 545-2610

National Provider Directory

National Provider Directory

Locations

1501 N Gilbert Rd
Ste 120
Gilbert, AZ 85234
Phone (480) 507-7560

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1417984501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 S RIATA CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965948",
            "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": "4135 S POWER RD",
            "address_2": "SUITE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123624",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PHYSICIANS ASSISTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-545-2610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.