Organization Active NPI

Abdominal Surgeons,LTD

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1578734257
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12148 Issued in AZ
Legal business name
ABDOMINAL SURGEONS,LTD
Doing business as
ADOMINAL SURGEONS,LTD
Practice address
1310 N 24TH St Ste 100
Phoenix, AZ 85008-4617
Phone
(602) 252-1510
Fax
(602) 256-9488
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Hilario Juarez, M.D.
Title
President
Phone
(602) 252-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 12148 AZ Primary

Addresses

Primary practice location

1310 N 24TH St Ste 100
Phoenix, AZ 85008-4617

Mailing address

10810 N Tatum Blvd Ste 102306
Phoenix, AZ 85028-0503
Phone (602) 252-1510

Other names 1

  • ADOMINAL SURGEONS,LTD Doing business as

National Provider Directory

National Provider Directory

Locations

525 N 18th St
Ste 504
Phoenix, AZ 85006
Phone (602) 252-1416

10810 N Tatum Blvd
Ste 102306
Phoenix, AZ 85028

525 N 18th St
Ste 301
Phoenix, AZ 85006
Phone (602) 252-1510

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1578734257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 N TATUM BLVD STE 102306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280503",
            "telephone_number": "602-252-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084617",
            "telephone_number": "602-252-1510",
            "fax_number": "602-256-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDOMINAL SURGEONS,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "HILARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-252-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "12148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADOMINAL SURGEONS,LTD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADOMINAL SURGEONS,LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2020; 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.