NPIMap

Organization Active NPI

Surgical Specialty Hospital of Arizona, LLC

Doing business as The Core Institute Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
National Provider Identifier
1902881295
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
Doing business as
The Core Institute Specialty Hospital
Practice address
6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone
(602) 795-6020
Fax
(602) 795-6022
NPI assigned
Dec 9, 2005
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Eric Tomlon
Title
Chief of Administration & Staff Off
Phone
(623) 537-5605

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

6501 N 19TH Ave
Phoenix, AZ 85015-1646

Mailing address

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020

Other identifiers 1

IdentifierTypeStateIssuer
948325MedicaidAZ

Other names 1

  • The Core Institute Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050527000484 AZ Part A Provider - Hospital 2769424985 Practice locations: Phoenix, AZ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902881295. Details of each certification follow.

Hospital certification: CCN 030108

Legal name
SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
Doing business as
THE CORE INSTITUTE SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 2, 2003
Last certification
Jun 19, 2019
Beds
32
Ownership / control type
Physician ownership
Most recent change of ownership
May 10, 2005 (1 total)
Organization structure
LLCProprietary
Incorporated
Mar 28, 2005 in AZ
Enrollment address
6501 N 19TH Ave
Phoenix, AZ 85015-1646
Other Hospital Practice Location
Hospital subgroups
Acute care, Short-term, Specialty hospital

Hospital certification: CCN 030059

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARIZONA SURGICAL HOSPITAL
Certification status
Terminated Involuntary: failure to meet health/safety requirements, Apr 6, 2002
Provider type (POS)
Hospital – Short-term
Participating since
Dec 10, 1976
Last certification
Jul 21, 1992
Beds
20
Ownership / control type
Private (not for profit)
Most recent change of ownership
Nov 15, 1999 (1 total)
Facility address
6501 North 19TH Avenue
Phoenix, AZ 85015

Care Compare: Hospital

Medicare Care Compare
Listed as
The Core Institute Specialty HospCCN 030108 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

6501 N 19th Ave
#C
Phoenix, AZ 85015
Phone (602) 441-4102

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hopco Group Holdings, L.P. Organization, Phoenix, AZ Holding company 5% Or Greater Indirect Ownership Interest Aug 15, 2019 100%
Kenneth Eric Tomlon Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2023 5%
Corporate OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
The Center for Orthopedic and Research Excellence, Inc. Organization, Phoenix, AZ Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2014 100%
Operational/Managerial Control Dec 31, 2014 100%
Christopher a Yeung Individual 5% Or Greater Direct Ownership Interest Jul 31, 2018 2.79%
Corporate DirectorBoard Member Dec 31, 2014 2.79%
Core Specialty Surgical Holdings, LLC Organization, Phoenix, AZ LLC 5% Or Greater Direct Ownership Interest Jul 31, 2018 54.7%
Nima Salari Individual 5% Or Greater Direct Ownership Interest Jul 31, 2018 0.25%
Charles M Creasman Individual 5% Or Greater Direct Ownership Interest Mar 28, 2005 5.59%
The Kassman Family Living Trust Organization, Glendale, AZ 5% Or Greater Direct Ownership Interest Jul 31, 2018 1.4%
Audax Private Equity Fund VI-a, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Aug 15, 2019 11.86%
Linden Capital Partners IV LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Aug 15, 2019 11.51%
Linden Capital Partners IV-a LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Aug 15, 2019 15.62%
Hopco Specialty Surgical Holdings, LLC Organization, Phoenix, AZ Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2018 34.68%
Justin S Field Individual 5% Or Greater Direct Ownership Interest Jul 31, 2018 0.57%
Audax Private Equity Fund VI-B, L.P. Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Aug 15, 2019 10.16%
Hopco Intermediate Holdings, Inc. Organization, Phoenix, AZ Corporation, Holding company 5% Or Greater Indirect Ownership Interest Aug 15, 2019 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 170

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 170

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1902881295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151646",
            "telephone_number": "602-795-6020",
            "fax_number": "602-795-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151646",
            "telephone_number": "602-795-6020",
            "fax_number": "602-795-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "TOMLON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF OF ADMINISTRATION & STAFF OFF",
        "authorized_official_telephone_number": "623-537-5605"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948325",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Core Institute Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.