Organization Active NPI

Venus Surgical, LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1578113809
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VENUS SURGICAL, LLC
Practice address
8415 N Pima Rd Ste 292
Scottsdale, AZ 85258-4488
Phone
(480) 291-8978
Fax
(480) 434-6572
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Dr. Millie Behera, MD
Title
Medical Director
Phone
(480) 434-6565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8415 N Pima Rd Ste 292
Scottsdale, AZ 85258-4488

Mailing address

8415 N Pima Rd Ste 292
Scottsdale, AZ 85258-4488
Phone (480) 291-8978

Other identifiers 1

IdentifierTypeStateIssuer
OSC9714MedicaidAZ

National Provider Directory

National Provider Directory

Locations

8415 N Pima Rd
Ste 292
Scottsdale, AZ 85258
Phone (480) 291-8978

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1578113809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 292",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584488",
            "telephone_number": "480-291-8978",
            "fax_number": "480-434-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 292",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584488",
            "telephone_number": "480-291-8978",
            "fax_number": "480-434-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BEHERA",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-434-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OSC9714",
            "state": "AZ"
        }
    ],
    "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 Nov 27, 2019; 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.