Aurora Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AURORA SURGICAL CENTER LLC

Practice address

1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217

Phone

(928) 395-3296

NPI assigned

Sep 20, 2020

Organization subpart

No

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

Authorized official

Name

Connor W. Gomez

Title

Administrator

Phone

(928) 395-3296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Ambulatory surgical center certification: CCN 03C0001467

Legal name

AURORA SURGICAL CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 15, 2022

Last certification

Nov 17, 2022

Ownership / control type

Proprietary

Facility address

1254 West University Ave Suite 130
Flagstaff, AZ 86001

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1952917445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-395-3296"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Anesthesia Associates LLC
• Aurora Centre, Inc
• Aurora Concierge Care & Med Spa LLC
• Aurora Medical Associates LLC
• Aurora Radiology Associates LLC
• Glen D. Austin, D.O.
• Kristin C Austin, NMD
• William J Austin, MD
• Joel Axler
• Juana Maria Ayers, LMT

• Ambulatory Surgical Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, 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 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.