Platinum Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLATINUM SURGERY CENTER LLC

Practice address

1981 E Bonanza CT Ste 101
Gilbert, AZ 85297-8012

Phone

(480) 466-7355

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Olson, MDNPI 1831334861

Title

Owner

Phone

(480) 466-7355

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 03C0001488

Legal name

PLATINUM SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 4, 2024

Last certification

Feb 23, 2024

Ownership / control type

Proprietary

Facility address

1981 E Bonanza Court Suite 101
Gilbert, AZ 85297

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Robert Olson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Gilbert, AZ
  • NPI 1831334861
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1689360117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 E BONANZA CT STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978012",
            "telephone_number": "480-466-7355",
            "fax_number": "480-939-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 E BONANZA CT STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978012",
            "telephone_number": "480-466-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-466-7355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niyanna Pitre
• Samantha Pitts
• Anna Pivec, MD
• Petr R Pivec, MD
• Pivonka Health & Wellness LLC
• Kathleen Elizabeth Plessner, M.ED., BCBA
• David Podkameni, M.D.
• Johanna Poertner, MS., CCC-SLP
• Michael J Pogge, AGACNP-BC
• Jack A Pohler

• Ambulatory Surgical Clinic/Center in Gilbert, AZ
• Providers in Gilbert, 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 Oct 2, 2023; 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.