Advanced Reconstructive Surgical Associates

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

52965 Issued in AZ

Legal business name

ADVANCED RECONSTRUCTIVE SURGICAL ASSOCIATES

Practice address

9250 N 3Rd St
#1003
Phoenix, AZ 85020-2437

Phone

(602) 331-7811

Fax

(602) 331-5886

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Pablo Prichard, M.D.

Title

Co Owner

Phone

(602) 331-7811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roni Benjamin Prucz, MD

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1386886943
  NPD

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1437691763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "#1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "#1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECONSTRUCTIVE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "PRICHARD",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "602-331-7811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "52965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Plastic Reconstruction PLLC
• Advanced Practice Assistance Inc
• Advanced Psychiatric Health PLLC
• Advanced Reconstruction and Aesthetics PLLC
• Advanced Reconstructive Surgeons PLLC
• Advanced Reconstructive Surgical Associates PLLC
• Advanced Retina and Eye Cancer Center, LLC
• Advanced Scottsdale Anesthesia LLC
• Advanced Smiles Center LLC
• Advanced Spine and Pain LLC

• Plastic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.