Active NPI
Maricopa Surgical Associates, Inc
- Adult Health Nurse Practitioner
- Glendale, AZ
National Provider Identifier
1720280795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN043432
- Legal business name
- MARICOPA SURGICAL ASSOCIATES, INC
- Practice address
- 8314 N 49TH Dr
Glendale, AZ 85302-6307 - Phone
- (602) 616-0123
- Fax
- (623) 847-1140
- NPI assigned
- Jun 1, 2007
- 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
- Ann Elizabeth Tyrrell, NP
- Title
- President
- Phone
- (602) 616-0123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN043432 | AZ | Primary |
Addresses
Primary practice location
8314 N 49TH Dr
Glendale, AZ 85302-6307
Mailing address
8314 N 49TH Dr
Glendale, AZ 85302-6307
Phone (602) 616-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574237 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720280795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8314 N 49TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853026307",
"telephone_number": "602-616-0123",
"fax_number": "623-847-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8314 N 49TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853026307",
"telephone_number": "602-616-0123",
"fax_number": "623-847-1140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARICOPA SURGICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TYRRELL",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-616-0123",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "RN043432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574237",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- John J Marget Jr., DDS
- Alayna Kathryn Margulis, PA-C
- Maricopa County Department of Public Health
- Maricopa County Department of Public Health
- Maricopa County Special Health Care District
- Allison Mae Marin, BSN, RN
- Vanessa Coelho Marinho, D.D.S., M.S.
- Paulette Marino, OCCUPATIONAL THERAPI
- Thomas Carmine Vincent Marino, PA-C
- Mariposa Hospice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.