Olive Surgical Care, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSC5845 Issued in AZ

Legal business name

OLIVE SURGICAL CARE, LLC

Doing business as

Desert Vista Surgery Center, LLC

Practice address

8914 N 91St Ave
Suite 100-a
Peoria, AZ 85345-8396

Phone

(623) 547-5420

Fax

(623) 594-8936

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Aaron Latowsky, MD

Title

Medical Director

Phone

(623) 547-5420

Specialties & licenses 1

Addresses

Other names 1

• Desert Vista Surgery Center, LLC Doing business as

Tax ID family

Desert Vista Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olive Surgical Care, LLC

  • Ambulatory Surgical Clinic/Center
  • Peoria, AZ
  • NPI 1700137650
  NPD tax ID

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1942624622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 N 91ST AVE",
            "address_2": "SUITE 100-A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458396",
            "telephone_number": "623-547-5420",
            "fax_number": "623-594-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 N 91ST AVE",
            "address_2": "SUITE 100-A",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458396",
            "telephone_number": "623-547-5420",
            "fax_number": "623-594-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE SURGICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "LATOWSKY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-547-5420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Vista Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Okane, PA-C
• Queen Okoronkwo
• Anna Louise Olavarria
• Gerald L Oldham, MD
• Olive Surgical Care, LLC
• Allison Olshove
• Breanna Rose Olson, RDH
• Dennis Palmer Olson, DDS
• Lisa Olson, PT, DPT
• Stella Oluloro

• Ambulatory Surgical Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.