NPIMap

Organization Active NPI

Arizona Center for Hand Surgery PC

Doing business as Arizona Center for Hand to Shoulder Surgery

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1508369836
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ARIZONA CENTER FOR HAND SURGERY PC
Doing business as
Arizona Center for Hand to Shoulder Surgery
Practice address
15830 N 35TH Ave Ste 1
Phoenix, AZ 85053-7640
Phone
(602) 258-4788
Fax
(602) 258-5131
NPI assigned
Mar 13, 2018
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Allen Liu, MDNPI 1902975907
Title
Owner
Phone
(602) 258-4788

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

15830 N 35TH Ave Ste 1
Phoenix, AZ 85053-7640

Mailing address

PO Box 7587
Phoenix, AZ 85011-7587
Phone (602) 258-4788

Other names 1

  • Arizona Center for Hand to Shoulder Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180622000075 AZ DME Supplier - Physician - Hand Surgery 4880585603 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Allure Plastic Surgery6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1508369836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7587",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850117587",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537640",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR HAND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-258-4788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Center for Hand to Shoulder Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.