Active NPI
Surprise Family Medicine PLC
- Family Medicine Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005062
- Legal business name
- SURPRISE FAMILY MEDICINE PLC
- Practice address
- 14239 W Bell Rd
Ste 225
Surprise, AZ 85374-2469 - Phone
- (623) 544-0101
- Fax
- (623) 544-0981
- NPI assigned
- Jan 27, 2010
- Last updated
- Jun 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven C Horrocks, DO
- Title
- Member
- Phone
- (623) 544-0101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 005062 | AZ | Primary |
Addresses
Primary practice location
14239 W Bell Rd
Ste 225
Surprise, AZ 85374-2469
Mailing address
PO Box 9311
Belfast, ME 04915-9311
Phone (623) 544-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507833 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2003118 | Surprise Family Medicine, PLC | Provider-performed microscopy | Feb 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
14239 W Bell Rd
Ste 225
Surprise, AZ 85374
Phone (623) 544-0101
Interoperability endpoints
- https://api.platform.athenahealth.com/2359/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Surprise, AZ
- NPI 1932225802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1548591886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9311",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159311",
"telephone_number": "623-544-0101",
"fax_number": "623-544-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14239 W BELL RD",
"address_2": "STE 225",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742469",
"telephone_number": "623-544-0101",
"fax_number": "623-544-0981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURPRISE FAMILY MEDICINE PLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "HORROCKS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "623-544-0101",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "005062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507833",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
- Surprise Dental, LLC (West Valley Family Dental)
- Surprise Endo PLLC (Surprise Endodontics)
- Surprise Endodontics
- Surprise Facility Group, LLC
- Surprise Family Dentistry
- Surprise Health Center PLLC (Surprise Health Center)
- Surprise Health Center, PLLC (Optum Primary Care)
- Surprise Implants & Family Dentistry
- Surprise Implants & Prosthodontics PLLC
- Surprise Luxury Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.