Organization Active NPI

Freedom Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1851044630
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FREEDOM SURGICAL CENTER
Practice address
17500 N Perimeter Dr # 200
Scottsdale, AZ 85255-7800
Phone
(623) 742-1570
NPI assigned
Feb 1, 2022
Organization subpart
Yes
Parent organization
JDS SURGICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Steven Siwek, MD
Title
Owner
Phone
(623) 742-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17500 N Perimeter Dr # 200
Scottsdale, AZ 85255-7800

Mailing address

5281 N 99TH Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 742-1570

Other names 1

  • JDS Surgical LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2232702Freedom Surgical Center17500 N Perimeter Dr, Scottsdale, AZ 85255Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Freedom Surgical Center2 organizations share this tax ID, including this one
Part of
Freedom Surgical Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1851044630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052209",
            "telephone_number": "623-742-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "623-742-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JDS SURGICAL LLC",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SIWEK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-742-1570",
        "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": "JDS Surgical LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JDS Surgical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.

Verify at the official NPI Registry.