NPIMap

Organization Active NPI

B & B Surgical Assistance PLLC

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1811290174
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
096553 Issued in AZ
Legal business name
B & B SURGICAL ASSISTANCE PLLC
Practice address
15060 S 39TH St
Phoenix, AZ 85044-6612
Phone
(480) 980-8206
Fax
(480) 281-5224
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Steven Barron, CRNFANPI 1366405235
Title
Owner
Phone
(480) 980-8206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 096553 AZ Primary

Addresses

Primary practice location

15060 S 39TH St
Phoenix, AZ 85044-6612

Mailing address

PO Box 50924
Phoenix, AZ 85076-0924
Phone (480) 980-8206

Other identifiers 1

IdentifierTypeStateIssuer
816473MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201207001932 AZ Part B Supplier - Clinic/Group Practice 1254743776 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1811290174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50924",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760924",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15060 S 39TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446612",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & B SURGICAL ASSISTANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-980-8206",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "096553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816473",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.