Elite Vascular, Vein, and Surgical Specialists, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELITE VASCULAR, VEIN, AND SURGICAL SPECIALISTS, LLC

Practice address

10255 N 32ND St
Phoenix, AZ 85028-3851

Phone

(602) 354-5659

Fax

(602) 795-9948

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Sky Moore, DCNPI 1053473009

Title

Manager/Owner

Phone

(602) 354-5659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sky C Moore, D.C.

  • Rehabilitation Chiropractor
  • Phoenix, AZ
  • NPI 1053473009
  Authorized official Same address or phone

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1952703449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 E CAMELBACK RD",
            "address_2": "SUITE 430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164325",
            "telephone_number": "602-354-5659",
            "fax_number": "602-795-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-354-5659",
            "fax_number": "602-795-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VASCULAR, VEIN, AND SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "602-354-5659",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Start Nutrition, LLC
• Elite Therapy of Az
• Elite View Imaging LLC (Elite View Starolup Holdings)
• Elitek Laboratories
• Elizabeth J McConnell MD PLC
• Elizabeth J. Fleming, DDS PC
• Diana I Elizalde, M.D.

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 Sep 16, 2014; 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.