Active NPI
Healios Surgical Center LLC
- Interventional Pain Medicine Physician
- Mesa, AZ
National Provider Identifier
1730038217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- HEALIOS SURGICAL CENTER LLC
- Practice address
- 6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750 - Phone
- (480) 634-4606
- Fax
- (480) 452-0582
- NPI assigned
- Jan 27, 2026
- 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
- Brandie Harrison
- Title
- Director of Operations
- Phone
- (480) 634-4606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Mailing address
6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750
Phone (480) 634-4606
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2339852 | Healios Surgical Center | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1730038217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 E BROADWAY RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852061750",
"telephone_number": "480-634-4606",
"fax_number": "480-452-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6424 E BROADWAY RD STE 102",
"city": "MESA",
"state": "AZ",
"postal_code": "852061750",
"telephone_number": "480-634-4606",
"fax_number": "480-452-0582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALIOS SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "BRANDIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "480-634-4606"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.