Active NPI
Southwest Surgery of Yavapai County, PC
- Surgery Physician
- Prescott, AZ
National Provider Identifier
1720199607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25877
- Legal business name
- SOUTHWEST SURGERY OF YAVAPAI COUNTY, PC
- Practice address
- 2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410 - Phone
- (928) 445-3055
- Fax
- (928) 445-4732
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian P Schilperoort, M.D.
- Title
- Owner/Manager
- Phone
- (928) 445-3055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25877 | AZ | Primary |
Addresses
Primary practice location
2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410
Mailing address
2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410
Phone (928) 445-3055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893130 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 401612 | Medicaid | AZ | |
| 2015283 | Other | AZ | CIGNA |
National Provider Directory
National Provider DirectoryLocations
1223 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-3055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302739200000",
"number": "1720199607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 EXCELLENCE WAY",
"address_2": "SUITE 200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863018410",
"telephone_number": "928-445-3055",
"fax_number": "928-445-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 EXCELLENCE WAY",
"address_2": "SUITE 200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863018410",
"telephone_number": "928-445-3055",
"fax_number": "928-445-4732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST SURGERY OF YAVAPAI COUNTY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2011-04-14",
"status": "A",
"authorized_official_last_name": "SCHILPEROORT",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "928-445-3055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "25877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0893130",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401612",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2015283",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Dustin Sorkhpoosh, DO
- Southwest Behavioral Health Services, Inc.
- Southwest Center for Communication Disorders
- Southwest Skin & Cancer Institute
- Southwest Skin & Cancer Institute LTD
- Southwestern Eye Center LTD
- Southwestern Eye Center, LTD
- Southwestern Medical Centers Az
- Southwestern Medical Centers Inc - Az
- Southwestern Medical Centers-Az, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.