Scottsdale McCormick Ranch Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCOTTSDALE MCCORMICK RANCH SURGICENTER LLC

Practice address

8129 N 87TH PL
Scottsdale, AZ 85258-4399

Phone

(602) 689-7258

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Patti Flint, MDNPI 1427109461

Title

Sole Member

Phone

(602) 689-7258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629443478. Details of each certification follow.

• CCN 03C0001388 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 03C0001388

Legal name

SCOTTSDALE MCCORMICK RANCH SURGICENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 27, 2017

Last certification

Jun 11, 2019

Ownership / control type

Proprietary

Facility address

8129 North 87TH Place
Scottsdale, AZ 85258

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

CLIA laboratory certificates

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.

• Patti Ann Flint, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1427109461
  NPD (past) Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1629443478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "602-689-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8129 N 87TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584399",
            "telephone_number": "602-689-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE MCCORMICK RANCH SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-689-7258",
        "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": []
}

• Scottsdale Integrative Therapy PLLC
• Scottsdale Internal Medicine
• Scottsdale Internal Medicine Consultants Inc
• Scottsdale Mat Clinic (SMC - Arizona)
• Scottsdale MC, LLC (Mosaic Gardens at Scottsdale)
• Scottsdale Medical Associates,Inc
• Scottsdale Medical Center PLC (Joseph A. Rotella MD,DC)
• Scottsdale Medical Clinic LLC
• Scottsdale Medical Group LLC
• Scottsdale Medical Imaging, LTD

• 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 Dec 4, 2015; 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.