Active NPI
Phoenix Children'S Surgery Center
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1831199637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC3450
- Legal business name
- PHOENIX CHILDREN'S SURGERY CENTER
- Practice address
- 1920 E Cambridge Ave
E-100
Phoenix, AZ 85006-1459 - Phone
- (602) 604-9400
- Fax
- (602) 604-9444
- NPI assigned
- Jul 22, 2005
- 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
- Mr. Trey Parsons, R.N.
- Title
- Director
- Phone
- (602) 604-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OSC3450 | AZ | Primary |
Addresses
Primary practice location
1920 E Cambridge Ave
E-100
Phoenix, AZ 85006-1459
Mailing address
1920 E Cambridge Ave
E-100
Phoenix, AZ 85006-1459
Phone (602) 604-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208890 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 842337 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
1920 E Cambridge Ave
#E100
Phoenix, AZ 85006
Phone (602) 604-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831199637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE",
"address_2": "E-100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061459",
"telephone_number": "602-604-9400",
"fax_number": "602-604-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE",
"address_2": "E-100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061459",
"telephone_number": "602-604-9400",
"fax_number": "602-604-9444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX CHILDREN'S SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "TREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-604-9400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AZ",
"license": "OSC3450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AZ",
"identifier": "0208890",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842337",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Phoenix Children'S Hospital (Phoenix Children's Outpatient Pharmacy)
- Phoenix Children'S Hospital
- Phoenix Children'S Hospital (Phoenix Children's Medical Group)
- Phoenix Children'S Hospital Hope
- Phoenix Children'S Hospital, Inc. (Phoenix Children's Urgent Care Centers)
- Phoenix Childrens Hospital
- Phoenix Childrens Hospital Maricopa Medical Center Pediatric Residency
- Phoenix Chiropractic Corp (BackFit Chiropractic and Rehab.)
- Phoenix Chiropractic Injury Clinic, LLC
- Phoenix Collegaitae Academy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.