Physicians Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHYSICIANS SURGERY CENTER LLC

Practice address

1800 Highway 95
Bullhead City, AZ 86442-6803

Phone

(928) 763-8443

Fax

(928) 763-3073

NPI assigned

Dec 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan N. Glesmann

Title

Vice President

Phone

(928) 763-8443

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Physicians Surgery CenterCCN 03C0001228

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Arnold Glesmann, MD

  • Ophthalmology Physician
  • Bullhead City, AZ
  • NPI 1770549222
  NPD (past)
• Daniel C Schickner, MD

  • Ophthalmology Physician
  • Bullhead City, AZ
  • NPI 1467418194
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821166521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-8443",
            "fax_number": "928-763-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-8443",
            "fax_number": "928-763-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GLESMANN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-763-8443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Petersen
• Pharma Fusion LLC
• PHC-Fort Mohave, Inc. (Crossroads Urgent Care by Valley View Medical Center)
• Philip C Barnard DC PLLC
• Phoenix Cancer and Blood Disorder Treatment Institute PLLC
• Susan Kay Pierce
• Haleigh Piotrowski, PA-C
• Polly's Chiropractic, P.C.
• Michelle Pompos, LMSW
• Peter David Pourzand, CRNP, MBA

• Ambulatory Surgical Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, 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 Jul 21, 2022; 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.