Az Surgical Weight Loss, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

AZ SURGICAL WEIGHT LOSS, PLLC

Practice address

1855 E Southern Ave Ste 4
Tempe, AZ 85282-5894

Phone

(480) 689-5104

Fax

(480) 245-6337

NPI assigned

Dec 21, 2021

Last updated

Jun 8, 2023By 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

Michael Orris, DONPI 1982646097

Title

Owner

Phone

(480) 689-5104

Specialties & licenses 1

Addresses

Locations

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.

• Michael J Orris, D.O.

  • Surgery Physician
  • Tempe, AZ
  • NPI 1982646097
  NPD (past) Authorized official

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1780344564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825881",
            "telephone_number": "480-689-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE STE 4",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-689-5104",
            "fax_number": "480-245-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16222 N 59th Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853061701",
            "country_code": "US",
            "telephone_number": "480-689-5104",
            "fax_number": "480-245-6337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6261 N La Cholla Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413568",
            "country_code": "US",
            "telephone_number": "480-689-5104",
            "fax_number": "480-245-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZ SURGICAL WEIGHT LOSS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-689-5104",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Psychiatry and Counseling, Inc
• Az Secure Trans LLC
• Az Secure Trans LLC
• Az Surgical Supplies, LLC
• Az Surgical Support, PLLC
• Az Unity Trans LLC
• Az Weight Loss Clinic, LLC
• Az-Tech Radiology & Open MRI
• Azcnmt LLC (USA Practice Management)
• Azevedo Inc (The Pathway Program)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.