Active NPI
Freedom Surgical Center
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1851044630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 03D2232702 | Freedom Surgical Center | Certificate of waiver | Aug 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Surgical Center
- 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.
-
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
- NPI 1427664515
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.
-
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
- NPI 1427664515
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.