Surgical Healthcare LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SURGICAL HEALTHCARE LLC

Practice address

4626 E Sheena Dr
Phoenix, AZ 85032-5524

Phone

(602) 295-8370

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Kullukian, M.D.NPI 1609119304

Title

Manager

Phone

(602) 295-8370

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Daniel Kullukian, M.D., SA-C

  • Surgical Assistant
  • Phoenix, AZ
  • NPI 1609119304
  NPD (past) Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1619403995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325524",
            "telephone_number": "602-295-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "KULLUKIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-295-8370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861438620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgcenter Northern Phoenix LLC
• Surgcenter of Deer Valley, LLC
• Surgeassist, PLLC
• Surgency Physician Assistant PLLC
• Surgery Center of Scottsdale, LLC (Mountain View Surgery Center of Phoenix)
• Surgical Specialty Hospital of Arizona, LLC (The Core Institute Specialty Hospital)
• Surgical Specialty Imaging LLC (Camelback Specialty Imaging)
• Surgicalrx Nutrition Therapy PLLC
• Surgicare, LLC
• Surgicenters of America LP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.