National Cardiovascular Surgery Center of Surprise, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NATIONAL CARDIOVASCULAR SURGERY CENTER OF SURPRISE, LLC

Practice address

12361 W Bola Dr Ste 112
Surprise, AZ 85378-9021

Phone

(844) 900-2567

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Timothy Cozatt

Title

Investor Relations Officer

Phone

(602) 899-4404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1780205294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41638",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801638",
            "telephone_number": "602-899-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "844-900-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CARDIOVASCULAR SURGERY CENTER OF SURPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "COZATT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "INVESTOR RELATIONS OFFICER",
        "authorized_official_telephone_number": "602-899-4404"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Surprise, AZ
• Providers in Surprise, 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 May 6, 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.