Resurgen PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RESURGEN PLLC

Practice address

13949 W Meeker Blvd Ste B
Sun City West, AZ 85375-4436

Phone

(623) 544-9090

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Seth Clark, DPM

Title

Owner

Phone

(623) 544-9090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1679396766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13949 W MEEKER BLVD STE B",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754436",
            "telephone_number": "623-544-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13949 W MEEKER BLVD STE B",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754436",
            "telephone_number": "623-544-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-544-9090",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom F Reese, DDS
• Ana Rebeca Paco de Matos Rego
• Benjamin George Remchek, R.N., B.S.N.
• Renal Dimensions, LLC
• Anthony M Renello Jr., MS LISAC
• Claire S Riley
• Thomas C Riley, OT
• Lucas Timothy Roach
• Tyrell Roberson
• Robert a. Harper

• Ambulatory Surgical Clinic/Center in Sun City West, AZ
• Providers in Sun City West, 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 Nov 6, 2024; 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.