Scottsdale Multispecialty Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCOTTSDALE MULTISPECIALTY SURGERY CENTER

Doing business as

Paradise Valley Multi Specialty Surgery Center

Practice address

7125 E Lincoln Dr Ste A201
Paradise Valley, AZ 85253-4429

Phone

(480) 680-2250

Fax

(480) 680-2251

NPI assigned

Apr 13, 2021

Last updated

Jun 28, 2021By 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. Anthony Admire, MDNPI 1578534251

Title

Ceo/Owner

Phone

(480) 421-8872

Specialties & licenses 1

Addresses

Other names 1

• Paradise Valley Multi Specialty Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619557519. Details of each certification follow.

• CCN 03C0001501 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 03C0001501

Legal name

Paradise Valley Specialty Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 12, 2022

Last certification

Apr 12, 2022

Ownership / control type

Proprietary

Facility address

7125 E Lincoln Dr Suite A201
Paradise Valley, AZ 85253

Listed as

Scottsdale Multispecialty Surgery Center Dba Paradise Valley Multispecialty Surgery CenterCCN 03C0001458

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

CLIA laboratory certificates

Tax ID family

Eye Surgical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Surgical Services LLC

  dba Gateway Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1487221404
  NPD tax ID

Locations

Practitioners 2

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.

• Anthony A Admire, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1578534251
  NPD Authorized official
• William Conrad Nordlie, MD

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1164492328
  NPD (past)

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1619557519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR STE A201",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-680-2250",
            "fax_number": "480-680-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR STE A201",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-680-2250",
            "fax_number": "480-680-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MULTISPECIALTY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "ADMIRE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-421-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Valley Multi Specialty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon James Ryff, D.D.S.
• Jinesh Savla, DDS
• Michele Scheiner, MD
• Susan Evalyn Schwartz, PH.D.
• Scoliosis Rehab Inc.
• Shalom Fialkoff DMD PLLC (Paradise Valley Dental)
• Kayvan Shamsa, NMD
• Daniel Shapiro
• Nour Shiblak
• Laura Shniderman, M.S. , CCC-SLP

• Ambulatory Surgical Clinic/Center in Paradise Valley, AZ
• Providers in Paradise Valley, 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 Jun 28, 2021; 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.