Tri City Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TRI CITY SURGERY CENTER LLC

Practice address

5430 Distinction Way
Prescott, AZ 86301-4454

Phone

(928) 445-1919

Fax

(928) 445-5672

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Karla Perry

Title

Nurse Administrator

Phone

(928) 710-9626

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Tri City Surgery Center LLCCCN 03C0001297

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• Northern Arizona Orthopaedics, LTD.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1164495503

  Member Of

  NPD member

Locations

Practitioners 2

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

• Richard Pleva, M.D.

  • Gastroenterology Physician
  • Prescott, AZ
  • NPI 1194700914
  NPD
• Scott R Price, DPM

  • Podiatrist
  • Prescott Valley, AZ
  • NPI 1417067455
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1437101433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 DISTINCTION WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014454",
            "telephone_number": "928-445-1919",
            "fax_number": "928-445-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 DISTINCTION WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014454",
            "telephone_number": "928-445-1919",
            "fax_number": "928-445-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "928-710-9626"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transitional Living Corporation
• Traveling Physical Therapist PLLC
• Billy Charles Travis
• Susan F. Tredwell
• Colleen M Tretton, LPC, SEP
• Tri-City Gastroenterology PLC
• Tricity Dental
• Ervin Trilles, D.D.S.
• Triton Care Systems PLLC
• Shannon Tromp

• Ambulatory Surgical Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.