Organization Active NPI

Surgical Specialties of Casa Grande

Doing business as The Surgery Center of Casa Grande

  • Ambulatory Surgical Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1750384822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC-3188 Issued in AZ
Legal business name
SURGICAL SPECIALTIES OF CASA GRANDE
Doing business as
The Surgery Center of Casa Grande
Practice address
1760 E Florence Blvd
BLDG 2
Casa Grande, AZ 85222-4776
Phone
(520) 421-2300
Fax
(520) 421-2411
NPI assigned
May 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernard-Dean Frank Marucci, MDNPI 1255453924
Title
Medical Director
Phone
(520) 421-2300

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC-3188 AZ Primary

Addresses

Primary practice location

1760 E Florence Blvd
BLDG 2
Casa Grande, AZ 85222-4776

Mailing address

1760 E Florence Blvd
BLDG 2
Casa Grande, AZ 85222-4776
Phone (520) 421-2300

Other identifiers 1

IdentifierTypeStateIssuer
750697MedicaidAZ

Other names 1

  • The Surgery Center of Casa Grande Doing business as

National Provider Directory

National Provider Directory

Locations

1770 E Florence Blvd
Casa Grande, AZ 85222
Phone (520) 421-2300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750384822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD",
            "address_2": "BLDG 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224776",
            "telephone_number": "520-421-2300",
            "fax_number": "520-421-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E FLORENCE BLVD",
            "address_2": "BLDG 2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224776",
            "telephone_number": "520-421-2300",
            "fax_number": "520-421-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTIES OF CASA GRANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARUCCI",
        "authorized_official_first_name": "BERNARD-DEAN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "520-421-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC-3188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of Casa Grande",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

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.

Verify at the official NPI Registry.