Active NPI
Valley Surgical Clinics, LTD
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1962440602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- VALLEY SURGICAL CLINICS, LTD
- Practice address
- 16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356 - Phone
- (602) 996-4747
- Fax
- (602) 953-5466
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Shively
- Title
- Ceo
- Phone
- (602) 996-4747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Mailing address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040625000945 | AZ | Part B Supplier - Clinic/Group Practice | 3577549021 |
Receives reassigned benefits from 28 practitioners Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryLocations
6036 N 19th Ave
Ste 208
Phoenix, AZ 85015
Phone (480) 896-9888
Practitioners & affiliated clinicians
Practitioners 44
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1962440602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY SURGICAL CLINICS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "SHIVELY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-996-4747"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Valley Rehabilitation Associates, Inc
- Valley Resilient Wellness LLC
- Valley Social Services LLC
- Valley Spring Behavioral Health LLC
- Valley Surgical Center LLC
- Valley Surgical Colorectal Specialists LLC
- Valley Travelers Social Exploration Inc.
- Valley Urgent Care, LLC.
- Valley Urogynecology Associates LTD
- Valley Urology, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.