Estrella Surgical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ESTRELLA SURGICAL GROUP

Practice address

9305 W Thomas Rd
Suite 250
Phoenix, AZ 85037-3328

Phone

(623) 936-5406

Fax

(623) 936-5479

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandra B Gladding, MD

Title

Vice President

Phone

(623) 936-5406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1770766016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-936-5406",
            "fax_number": "623-936-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "SUITE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-936-5406",
            "fax_number": "623-936-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GLADDING",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "623-936-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estrella Internal Medicine & Geriatrics Clinic, PLC
• Estrella Mountain Dialysis LLC
• Estrella of Cascadia LLC
• Estrella Pediatrics P.C.
• Estrella Specialty Medical Care P C
• Estrella Taxi
• Estrella Women'S Health Center PC
• Megan Estrem, LMSW
• Rose Esty
• Kristi Etchechury, COTA/L

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.