Sunrise Ambulatory Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC2943 Issued in AZ

Legal business name

SUNRISE AMBULATORY SURGICAL CENTER LLC

Practice address

5448 White Mountain Blvd Ste 100
Lakeside, AZ 85929-5736

Phone

(928) 532-3010

Fax

(928) 532-1161

NPI assigned

Jan 31, 2006

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Sunrise Ambulatory Surgical CenterCCN 03C0001248

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Doyle Carter, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1194763912
  NPD (past)
• John Howard Cole, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1932188000
  NPD (past)
• Joel E. Colley, M.D.

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1487650305
  NPD (past)
• John Philip Dagirmanjian, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1225017676
  NPD (past)
• Allan Daskal, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1407042690
  NPD (past)
• William Charles Dykes, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1750360111
  NPD (past)
• Curt Feinberg, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1508862459
  NPD (past)
• Bryan Anthony Ficarra Jr., DO

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1376519694
  NPD (past)
• Albert Michael Hasson, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1386623734
  NPD (past)
• David S. Higgins, D.O.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1194764456
  NPD (past)
• Scott Holtz, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1912903667
  NPD (past)
• Alec Hovagim, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1225034002
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1750352324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 WHITE MOUNTAIN BLVD STE 100",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295736",
            "telephone_number": "928-532-3010",
            "fax_number": "928-532-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC2943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Stone, PMH P, FNP
• Steven K Struthers, PA-C
• Debra Frances Stuart-Smalley, CNM
• John J Sullivan, DDS
• Summit Cardiology Center, LLC
• Jane Sutter, M.A.
• Robin Sweeney
• Yuri Talalaev, MD
• Alyssa Talbert, DPT
• Tall Pines Wellness

• Ambulatory Surgical Clinic/Center in Lakeside, AZ
• Providers in Lakeside, 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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.