Organization Active NPI

Desert Surgical Assistants, LLC

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1528284478
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
DESERT SURGICAL ASSISTANTS, LLC
Practice address
10930 N Tatum Blvd
#103
Phoenix, AZ 85028-6069
Phone
(602) 263-7600
Fax
(602) 212-0365
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Michael P Caskey, MD
Title
Owner
Phone
(602) 263-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

10930 N Tatum Blvd
#103
Phoenix, AZ 85028-6069

Mailing address

10930 N Tatum Blvd
#103
Phoenix, AZ 85028-6069
Phone (602) 263-7600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1528284478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 N TATUM BLVD",
            "address_2": "#103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286069",
            "telephone_number": "602-263-7600",
            "fax_number": "602-212-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 N TATUM BLVD",
            "address_2": "#103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286069",
            "telephone_number": "602-263-7600",
            "fax_number": "602-212-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-263-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 2007; 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.