Sun Valley Surgical Physician Assistant, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3332 Issued in AZ

Legal business name

SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC

Practice address

9031 W Runion Dr
Peoria, AZ 85382-6472

Phone

(623) 810-7539

NPI assigned

Jul 1, 2015

Last updated

Jul 1, 2015By 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

Jennifer Speer, PA

Title

Physician Assistant

Phone

(623) 810-7539

Specialties & licenses 1

Addresses

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.

• Jennifer Renee Dephillips, PA-C

  • Physician Assistant
  • Concord, NH
  • NPI 1316985823

  Surgical

  NPD

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1669855193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 W RUNION DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826472",
            "telephone_number": "623-810-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 W RUNION DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826472",
            "telephone_number": "623-810-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY SURGICAL PHYSICIAN ASSISTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "623-810-7539",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Imaging Associates
• Sun Imaging Associates PLC
• Sun Imaging Associates PLC
• Sun Valley Geriatrics PLLC
• Sun Valley Medical LLC
• Sun West Dental Center III, LLC (Sun West Dental Center)
• Sundance Endodontics, PC
• Sunrise Behavioral Health, LLC (Sunrise Behavioral Health)
• Sunrise Happy Days LLC
• Sunrise Medical Associates LLC

• Surgical Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.