The Minimally Invasive Spine Surgery Center of Paradise Valley, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC

Practice address

3135A East Lincoln Drive
Phoenix, AZ 85016-2317

Phone

(623) 435-4670

Fax

(602) 954-5132

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

John VanderhoofNPI 1558471052

Title

Owner/ Authorized Official

Phone

(480) 800-8642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospital certification: CCN 030151

Legal name

THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PAR

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 7, 2021

Last certification

Sep 7, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

3135 E Lincoln Dr., Ste a, Phoenix Az 85016
Phoenix, AZ 85016

Listed as

The Minimally Invasive Spine Surgery Center of Paradise Valley LLCCCN 03C0001354

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• John Vanderhoof, M.D.

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1558471052
  NPD Authorized official

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1801220983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135A EAST LINCOLN DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162317",
            "telephone_number": "623-435-4670",
            "fax_number": "602-954-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135A EAST LINCOLN DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162317",
            "telephone_number": "623-435-4670",
            "fax_number": "602-954-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "VANDERHOOF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-800-8642"
    },
    "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 Phoenix, AZ
• Providers in Phoenix, 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 Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.