Active NPI
Shea Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1558923656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SHEA SURGICAL CENTER LLC
- Practice address
- 10611 N Hayden Rd Ste D102
Scottsdale, AZ 85260-8530 - Phone
- (602) 441-3573
- NPI assigned
- Jun 28, 2019
- Last updated
- Sep 15, 2022
- 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
- Laura Catherine Zoldan
- Title
- Administrator
- Phone
- (480) 307-8258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
10611 N Hayden Rd Ste D102
Scottsdale, AZ 85260-8530
Mailing address
1450 W Guadalupe Rd Ste 124
Gilbert, AZ 85233-3056
Phone (480) 307-8258
National Provider Directory
National Provider DirectoryPractitioners & 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.
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- Chandler, AZ
- NPI 1821040775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1558923656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 W GUADALUPE RD STE 124",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333056",
"telephone_number": "480-307-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10611 N HAYDEN RD STE D102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852608530",
"telephone_number": "602-441-3573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEA SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-28",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "ZOLDAN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-307-8258"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.