Southwest Surgical Institute, PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

46221 Issued in AZ

Legal business name

SOUTHWEST SURGICAL INSTITUTE, PLC

Practice address

1855 E Southern Ave
Tempe, AZ 85282-5894

Phone

(480) 829-6100

NPI assigned

Aug 12, 2014

Last updated

Jul 1, 2015By 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

Jason Richardson

Title

Dr.

Phone

(480) 829-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1922417245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825894",
            "telephone_number": "480-829-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "480-829-6100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "46221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Pathology PLLC
• Southwest Perfusion, Inc.
• Southwest Primary Care
• Southwest Spine & Rehab Tempe LLC
• Southwest Spine and Sports
• Southwestern Eye Center LTD (Southwestern Eye Cneter-Tempe)
• Southwestern Eye Center, LTD
• Southwestern Eye Center, LTD
• Kaitlyn Souza
• Alexis Danielle Sowell, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.