Organization Active NPI

Greater PHX ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1780415356
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GREATER PHX ASC LLC
Practice address
3333 E Camelback Rd Ste 140
Phoenix, AZ 85018-2387
Phone
(480) 245-7600
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Mr. Ryan C Strand, COO
Title
Coo
Phone
(480) 245-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3333 E Camelback Rd Ste 140
Phoenix, AZ 85018-2387

Mailing address

3333 E Camelback Rd Ste 140
Phoenix, AZ 85018-2387
Phone (480) 245-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023001176 AZ Part B Supplier - Ambulatory Surgical Center 6406389949 Practice locations: Phoenix, AZ

Ambulatory surgical center certification: CCN 03C0001503

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
GREATER PHX ASC LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 7, 2025
Last certification
Jun 5, 2025
Facility address
3333 East Camelback Road, Suite 140
Phoenix, AZ 85018

National Provider Directory

National Provider Directory

Locations

3333 E Camelback Rd
Ste 140
Phoenix, AZ 85018
Phone (480) 245-7600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1780415356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182387",
            "telephone_number": "480-245-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182387",
            "telephone_number": "480-245-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHX ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "STRAND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-245-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.