Arizona Surgeons Assistant PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1013800 Issued in AZ

Legal business name

ARIZONA SURGEONS ASSISTANT PC

Practice address

4369 E Hartford Ave
Phoenix, AZ 85032-2298

Phone

(602) 568-7294

Fax

(602) 867-4992

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Haitham M Hanna, PA-C

Title

Ceo

Phone

(602) 568-7294

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720305535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 E HARTFORD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322298",
            "telephone_number": "602-568-7294",
            "fax_number": "602-867-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 E HARTFORD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322298",
            "telephone_number": "602-568-7294",
            "fax_number": "602-867-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SURGEONS ASSISTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-568-7294",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "1013800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "1922",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z138269",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona State University (ASU Breaking the Cycle Community Healthcare)
• Arizona State University
• Arizona Sunrays, Inc.
• Arizona Sunrise Counseling
• Arizona Supportive Care, LLC
• Arizona Surgeons LLC
• Arizona Surgery Consultants
• Arizona Surgical Affiliates PLLC (Arizona Surgical Affiliates)
• Arizona Surgical Associates, PLC
• Arizona Surgical Physician Assistants LLC

• Surgical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, 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 Mar 7, 2023; 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.