Arizona Bariatric and Laparoscopic
Organization Active NPI Surgery Physician · Tempe, AZ
NPI 1861152647 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1861152647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ARIZONA BARIATRIC AND LAPAROSCOPIC
- Practice address
- 1855 E Southern Ave
Tempe, AZ 85282-5894 - Phone
- (480) 689-5104
- Fax
- (480) 245-6337
- NPI assigned
- Dec 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Michael Orris, DO
- Title
- Owner
- Phone
- (480) 689-5104
Practitioners 3
-
Thomas Buddensick, M.D.
-
Catherine Kin Ho, D.O.
-
Michael J Orris, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230913003184 | AZ | Part B Supplier - Clinic/Group Practice | 8224492996 |
Receives reassigned benefits from 3 practitioners Practice locations: Tempe, AZ |
National Provider Directory
Locations
1847 E Southern Ave
Tempe, AZ 85282
1847 E Southern Ave
Ste 2
Tempe, AZ 85282
Phone (480) 897-1122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
1855 E Southern Ave
Tempe, AZ 85282-5894
Mailing address
1847 E Southern Ave
Tempe, AZ 85282-5881
Phone (480) 689-5104
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.