Active NPI
BSC Casa Grande LLC
Doing business as Banner Surgery Center - Casa Grande
- Ambulatory Surgical Clinic/Center
- Casa Grande, AZ
National Provider Identifier
1811659816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BSC CASA GRANDE LLC
- Doing business as
- Banner Surgery Center - Casa Grande
- Practice address
- 1653 E McMurray Blvd Ste 141
Casa Grande, AZ 85122-5934 - Phone
- (520) 233-6502
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aric Burke
- Title
- Officer/Director
- Phone
- (480) 689-8403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1653 E McMurray Blvd Ste 141
Casa Grande, AZ 85122-5934
Mailing address
2355 E Camelback Rd Ste 700
Phoenix, AZ 85016-9044
Phone (602) 358-8512
Other names 1
- Banner Surgery Center - Casa Grande
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1811659816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 E CAMELBACK RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850169044",
"telephone_number": "602-358-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 E MCMURRAY BLVD STE 141",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225934",
"telephone_number": "520-233-6502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BSC CASA GRANDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "ARIC",
"authorized_official_title_or_position": "OFFICER/DIRECTOR",
"authorized_official_telephone_number": "480-689-8403"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Banner Surgery Center - Casa Grande",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.