Sun Valley Colon & Rectal Surgery, LTD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

AR13460 Issued in AZ

Legal business name

SUN VALLEY COLON & RECTAL SURGERY, LTD.

Practice address

12361 W Bola Dr
#107
Surprise, AZ 85374-9021

Phone

(623) 933-5866

Fax

(623) 933-5872

NPI assigned

Mar 19, 2010

Last updated

Dec 10, 2010By 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

Paravasthu S Ramanujam, MD

Title

President

Phone

(623) 933-5866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1922322999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721543",
            "telephone_number": "623-933-5866",
            "fax_number": "623-933-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "#107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749021",
            "telephone_number": "623-933-5866",
            "fax_number": "623-933-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY COLON & RECTAL SURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "RAMANUJAM",
        "authorized_official_first_name": "PARAVASTHU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-933-5866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "AR13460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun City West Surgery Center, LLC (Desert Mirage Surgery Center)
• Sun Health Corporation (Sun Health Surprise Urgent Care)
• Sun Health Services
• Sun Health Services
• Sun Health Urgent Care Centers, LLC (Sun Health Surprise Urgent Care)
• Sun Valley Health & Wellness LLC (Sun Valley Health & Wellness)
• Sun Valley Orthopedic Surgeons General Partnership
• Sun View Estates BH LLC
• Sun West Dental IV, LLC (Sunwest Dental)
• Keoni Kai Sun, RBT

• Surgery Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.