Active NPI
Scottsdale Outpatient Surgery
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1841842747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SCOTTSDALE OUTPATIENT SURGERY
- Practice address
- 8994 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-7901 - Phone
- (602) 510-3203
- Fax
- (602) 297-6997
- NPI assigned
- Jul 10, 2019
- Last updated
- Jul 10, 2019
- 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
- Tina Mankin
- Title
- Administrator
- Phone
- (602) 510-3203
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8994 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-7901
Mailing address
8994 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-7901
Phone (602) 510-3203
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2164725 | Scottsdale Outpatient Surgery Center | Certificate of waiver | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
8994 E Desert Cove Ave
Ste 101
Scottsdale, AZ 85260
Phone (602) 429-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562716800000",
"number": "1841842747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8994 E DESERT COVE AVE STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607901",
"telephone_number": "602-510-3203",
"fax_number": "602-297-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8994 E DESERT COVE AVE STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607901",
"telephone_number": "602-510-3203",
"fax_number": "602-297-6997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTSDALE OUTPATIENT SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A",
"authorized_official_last_name": "MANKIN",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-510-3203"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Scottsdale Obstetrics & Gynecology, P. C.
- Scottsdale Op Co LLC (Sante of North Scottsdale)
- Scottsdale Oral and Maxillofacial Surgery Associates PLLC
- Scottsdale Orthodontic Associates Inc
- Scottsdale Orthopedic Specialists,LTD
- Scottsdale Outpatient Surgery Group, LLC
- Scottsdale Pain Facility
- Scottsdale Pain Solutions LLC
- Scottsdale Pathology Associates LTD
- Scottsdale Pathology Consultants, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.