Panduga Surgical Care, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PANDUGA SURGICAL CARE, PLLC

Practice address

4904 S Power Rd Ste 103
PMB 450
Mesa, AZ 85212-3610

Phone

(602) 734-1945

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Silva

Title

Pams Npi Administrator

Phone

(210) 598-2800

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.

• Marc Alain Letellier, MD

  • Specialist
  • Mesa, AZ
  • NPI 1841239340
  NPD

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801305073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD STE 103",
            "address_2": "PMB 450",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123610",
            "telephone_number": "602-734-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD STE 103",
            "address_2": "PMB 450",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123610",
            "telephone_number": "602-734-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDUGA SURGICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palms Senior LLC (dba legacy palms)
• Alyssa Palty, MC
• Demetri N Panayi, MD
• Ankur Panchal
• Michelle Leigh Pande, MICHELLE PANDE NP-C
• Joe J Panelli, DMD
• Christine Panepinto
• Lynn M Pangburn, DC
• Ambrose Francis Panico, D.O.
• Sasha Pannu, M.D.

• Surgical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.