Summit Surgery and Recovery Care Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC0056 Issued in AZ

Legal business name

SUMMIT SURGERY AND RECOVERY CARE CENTER INC

Practice address

1485 N Turquoise Dr
Suite 100
Flagstaff, AZ 86001-1397

Phone

(928) 774-7757

Fax

(928) 774-7767

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Thomas L Potts

Title

Ceo

Phone

(928) 774-7757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northern Arizona Healthcare Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Flagstaff, AZ
  • NPI 1649668781

  O20100513000456

  Same enrollment

Practitioners 1

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

• Richard Frank Holt, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Flagstaff, AZ
  • NPI 1508150988
  NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1740370501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR",
            "address_2": "SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011398",
            "telephone_number": "928-774-7757",
            "fax_number": "928-774-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR",
            "address_2": "SUITE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011397",
            "telephone_number": "928-774-7757",
            "fax_number": "928-774-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGERY AND RECOVERY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-774-7757"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Summerfelt, RDH AP
• Summit Chiropractic & Rehabilitation Inc
• Summit Chiropractic and Wellness Center PC
• Summit Counseling Services, P.C.
• Summit Fire District
• Sunset Anesthesia Services
• Sudheer J. Surpure, MD, DDS
• Susan E Swann PH.D. PC
• Jay Thomas Sutliffe, RD
• Derya Suzen, PHD

• Ambulatory Surgical Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, 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 Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.