High Desert Surgery Center, L.L.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

50744 Issued in AZ

Legal business name

HIGH DESERT SURGERY CENTER, L.L.C.

Practice address

3192 Willow Creek Rd
Prescott, AZ 86301-6610

Phone

(928) 212-1479

Fax

(928) 660-6940

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Whitney James, MD

Title

Owner/Manager

Phone

(928) 212-1479

Specialties & licenses 1

Addresses

Other names 1

• HDSC Doing business as

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1861971046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 CROSSINGS DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057121",
            "telephone_number": "928-212-1479",
            "fax_number": "928-660-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-212-1479",
            "fax_number": "928-660-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-212-1479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "50744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HDSC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HDSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Braden Paul Hicks, DDS
• Paul William Hicks, D.D.S.
• Scott Edmund Hicks, D.D.S.
• High Country Early Intervention Inc
• High Desert Diagnostic Laboratory
• High Mark Internal Medicine LP
• Stacy Marie Hill, RN
• Debra M Hiller, ANP
• Tony John Himes, M.S.
• Matthew J Hinton, MD

• Neurological Surgery Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.