Active NPI
Laser Surgery Holding Company, LTD
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1851531248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC4560
- Legal business name
- LASER SURGERY HOLDING COMPANY, LTD
- Practice address
- 10255 N 32ND St
Phoenix, AZ 85028-3851 - Phone
- (602) 258-7003
- Fax
- (602) 254-3474
- NPI assigned
- Feb 25, 2009
- 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
- Peter Thomas, M.D.
- Title
- Medical Director
- Phone
- (602) 258-7003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OSC4560 | AZ | Primary |
Addresses
Primary practice location
10255 N 32ND St
Phoenix, AZ 85028-3851
Mailing address
10255 N 32ND St
Phoenix, AZ 85028-3851
Phone (602) 258-7003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090424000492 | AZ | Part B Supplier - Ambulatory Surgical Center | 8628126950 | Practice locations: Phoenix, AZ |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Tempe, AZ
- NPI 1083060107
8628126950
-
- Ambulatory Surgical Clinic/Center
- Casa Grande, AZ
- NPI 1205303930
8628126950
-
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
- NPI 1285466037
8628126950
-
- Interventional Cardiology Physician
- Phoenix, AZ
- NPI 1295592731
8628126950
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Laser Surgery Holding Company LTD
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003
2000 E Southern Ave
Tempe, AZ 85282
Phone (480) 444-7491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1851531248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10255 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283851",
"telephone_number": "602-258-7003",
"fax_number": "602-254-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10255 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283851",
"telephone_number": "602-258-7003",
"fax_number": "602-254-3474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER SURGERY HOLDING COMPANY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "602-258-7003",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "AZ",
"license": "OSC4560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.