Active NPI
Arrowhead Surgical First Assisting LLC
- Surgical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1922034495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- RN031133
- Legal business name
- ARROWHEAD SURGICAL FIRST ASSISTING LLC
- Practice address
- 7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Jun 24, 2006
- 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
- Linda Jennings, CMFA
- Title
- Owner
- Phone
- (602) 395-0718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | RN031133 | AZ | Primary |
Addresses
Primary practice location
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390790 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
6635 W Happy Valley Rd
Ste A104619
Glendale, AZ 85310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1922034495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699179",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD SURGICAL FIRST ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-395-0718",
"authorized_official_credential": "CMFA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "RN031133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390790",
"state": "AZ"
}
],
"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 Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.