West Valley Surgical Services LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

WEST VALLEY SURGICAL SERVICES LLC

Practice address

20982 W Palm LN
Buckeye, AZ 85396-5784

Phone

(937) 239-3556

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Taylor Williams, CSFANPI 1720736010

Title

Ceo

Phone

(937) 239-3556

Specialties & licenses 1

Addresses

Practitioners 1

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

• Patrick Taylor Williams

  • Surgical Physician Assistant
  • Buckeye, AZ
  • NPI 1720736010
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1467205674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20982 W PALM LN",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853965784",
            "telephone_number": "937-239-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20982 W PALM LN",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853965784",
            "telephone_number": "937-239-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-239-3556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lelisa Watts
• Mary Weaver, REGISTERED NURSE
• Sydnie Weis
• Alexus Wenstad
• Jordan Werner
• Chandler Avery Westin
• Scott Michael Whitlock, MD
• April Williams-Rutt, OD
• Christina Marie Williams, LPN
• Patrick Taylor Williams

• Surgical Physician Assistant in Buckeye, AZ
• Providers in Buckeye, 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 May 9, 2024; 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.