C.a.P. Surgical Services, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP2892 Issued in AZ

Legal business name

C.A.P. SURGICAL SERVICES, INC.

Practice address

3817 E Windsong Dr
Phoenix, AZ 85048-7916

Phone

(480) 759-0195

Fax

(480) 759-2015

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By 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

Mr. Randall J Peters

Title

President

Phone

(480) 759-0195

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1942478136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487916",
            "telephone_number": "480-759-0195",
            "fax_number": "480-759-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 E WINDSONG DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487916",
            "telephone_number": "480-759-0195",
            "fax_number": "480-759-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.P. SURGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-759-0195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349440",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.