East Valley Outpatient Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST VALLEY OUTPATIENT SURGERY, LLC

Practice address

5620 E Broadway Rd
Mesa, AZ 85206-1438

Phone

(480) 981-6111

NPI assigned

Aug 6, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Hill, MDNPI 1104990506

Title

Authorized Official

Phone

(480) 981-6111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

East Valley Outpatient Surgery LLCCCN 03C0001418

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren E Hill, M.D.

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1104990506
  NPD Authorized official
• Yuri F McKee, M.D.

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1154313989
  NPD
• Jonathan B. Kao, MD

  • Ophthalmology Physician
  • Mesa, AZ
  • NPI 1295779684
  NPD (past)

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1851946875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061438",
            "telephone_number": "480-981-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY OUTPATIENT SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-981-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Naturopathic Doctors
• East Valley Neurosurgery, LLC
• East Valley OB/GYN
• East Valley Ophthalmology, LTD
• East Valley Orthodontics
• East Valley Pain Relief, LLC
• East Valley Patient Care Services
• East Valley Pediatric Plastic Surgery, PLC
• East Valley Periodontics
• East Valley Phoenix ASC LLC

• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, 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 Oct 8, 2019; 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.