Surgcenter Chandler, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGCENTER CHANDLER, LLC

Practice address

3345 S Val Vista Dr
107
Gilbert, AZ 85297-7330

Phone

(310) 428-0469

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Stewart, MD

Title

Ceo

Phone

(480) 725-9777

Specialties & licenses 1

Addresses

Other names 1

• SurgCenter Gilbert Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Surgcenter GilbertCCN 03C0001355

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Precision Spine and Sports Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1730558180

  Member Of

  NPD member

Locations

Practitioners 1

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

• Steven L Porter, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gilbert, AZ
  • NPI 1679570048
  NPD

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1831530781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S VAL VISTA DR",
            "address_2": "107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977330",
            "telephone_number": "310-428-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S VAL VISTA DR",
            "address_2": "107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977330",
            "telephone_number": "310-428-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER CHANDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-725-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SurgCenter Gilbert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SurgCenter Gilbert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sunset Grand Assisted Living, LLC
• Superstition Medical Group LLC
• Sure Hands Behavioral Health Inc.
• Surgery Center of Scottsdale, LLC
• Jared Michael Susini, PA-C
• Casey J Suter, PA
• Heather Anne Sutherland, DMD
• Leslie Sutherland

• Ambulatory Surgical Clinic/Center in Gilbert, AZ
• Providers in Gilbert, 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 Mar 9, 2020; 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.