Asap Surgery Centers North Valley LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ASAP SURGERY CENTERS NORTH VALLEY LLC

Practice address

2525 W Greenway Rd Ste 100
Phoenix, AZ 85023-4280

Phone

(480) 573-0213

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Jarrett Leathem, MDNPI 1205193109

Title

Owner, Authorized Agent

Phone

(480) 573-0130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Asap Surgery Centers North Valley LLCCCN 03C0001472

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Spine and Pain LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mesa, AZ
  • NPI 1629679923

  Member Of

  NPD member

Practitioners 1

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

• Jarrett Michael Leathem, D.O.

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1205193109
  NPD (past) Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1811654494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234280",
            "telephone_number": "480-573-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234280",
            "telephone_number": "480-573-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP SURGERY CENTERS NORTH VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "LEATHEM",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-573-0130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asante Medical Associates LLC
• Asante Transportation LLC
• Asap Anesthesia, LLC
• Asap PT and Chiro LLC
• Asap Surgery Centers Avondale LLC
• Trevan Asay, DO
• Shadi Sahara Asayesh, PHARMD
• Saad Akram Mahmoud Asbeutah
• Asburry Group LLC
• Ascend Anesthesia Associates Mt LLC

• 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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.