Organization Active NPI

Omega Surgical PLLC

  • Plastic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1548733058
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
OMEGA SURGICAL PLLC
Practice address
4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9382
Phone
(480) 576-4310
Fax
(480) 576-4311
NPI assigned
Jan 8, 2019
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Joseph Zakhary, MDNPI 1366685711
Title
Sole MBR
Phone
(405) 420-3561

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
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9382

Mailing address

4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9382
Phone (480) 576-4310

Other practice location 1

4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9382
Phone (480) 576-4310

Other practice location 2

10910 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3080
Phone (480) 291-6895

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, 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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1548733058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329382",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329382",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 E Bell Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850329382",
            "country_code": "US",
            "telephone_number": "480-576-4310",
            "fax_number": "480-576-4311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10910 N Tatum Blvd Ste B100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283080",
            "country_code": "US",
            "telephone_number": "480-291-6895",
            "fax_number": "480-948-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMEGA SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ZAKHARY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "405-420-3561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "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 Apr 26, 2021; 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.