Western Surgical Services, PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

1597297 Issued in AZ

Legal business name

WESTERN SURGICAL SERVICES, PLLC

Practice address

7672 E Davenport Dr
Scottsdale, AZ 85260-4020

Phone

(602) 708-2493

Fax

(480) 699-6264

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Crystal Rae Coddington, CFA

Title

Sole Member

Phone

(602) 708-2493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1801028048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12144",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852672144",
            "telephone_number": "602-708-2493",
            "fax_number": "480-699-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7672 E DAVENPORT DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604020",
            "telephone_number": "602-708-2493",
            "fax_number": "480-699-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "CODDINGTON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-708-2493",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "AZ",
            "license": "1597297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgical Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.