Epic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EPIC SURGERY CENTER LLC

Practice address

16638 N 90TH St Ste 101
Scottsdale, AZ 85260-1539

Phone

(480) 506-0484

Fax

(480) 944-2141

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Nassim Haddad, MD

Title

Member

Phone

(480) 506-0484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Ambulatory surgical center certification: CCN 03C0001452

Legal name

EPIC SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 4, 2022

Last certification

Mar 4, 2022

Ownership / control type

Proprietary

Facility address

16638 North 90th Street, Suite 101
Scottsdale, AZ 85260

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Ashish Sadhu, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Scottsdale, AZ
  • NPI 1124218607
  NPD
• Cristal Angenia Smith, RN

  • Registered Nurse
  • Scottsdale, AZ
  • NPI 1740864701
  NPD
• Joshua D. Waggoner, M.D.

  • Interventional Cardiology Physician
  • Scottsdale, AZ
  • NPI 1093907107
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1578147484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16638 N 90TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16638 N 90TH ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601539",
            "telephone_number": "480-506-0484",
            "fax_number": "480-944-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-506-0484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Envita Insights, LLC
• Envita Medical Centers
• Epiphany Compounding
• Mallory Epstein
• Lori Long Epting, M.C., L.P.C.
• Equilibrium Mental Health, PLLC
• ER Plastics LLC

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.