Organization Active NPI

Medical and Surgical Health and Healing Institute, L.L.C.

  • Surgery Physician
  • Surprise, AZ
National Provider Identifier
1649598152
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MEDICAL AND SURGICAL HEALTH AND HEALING INSTITUTE, L.L.C.
Practice address
15515 N Reems Rd
Suite 107
Surprise, AZ 85374-9549
Phone
(623) 975-2500
Fax
(623) 975-1900
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Ms. Vonnee Rae Wilson
Title
Office Manager
Phone
(623) 975-2500

Specialties & licenses 1

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

Addresses

Primary practice location

15515 N Reems Rd
Suite 107
Surprise, AZ 85374-9549

Mailing address

15515 N Reems Rd
Suite 107
Surprise, AZ 85374-9549
Phone (623) 975-2500

Other identifiers 1

IdentifierTypeStateIssuer
535447MedicaidAZ

National Provider Directory

National Provider Directory

Locations

15515 N Reems Rd
Ste 107
Surprise, AZ 85374
Phone (623) 975-2500

Practitioners & affiliated clinicians

Practitioners 2

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": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1649598152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD",
            "address_2": "SUITE 107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-975-2500",
            "fax_number": "623-975-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD",
            "address_2": "SUITE 107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-975-2500",
            "fax_number": "623-975-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND SURGICAL HEALTH AND HEALING INSTITUTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VONNEE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-975-2500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535447",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.