Organization Active NPI

Select Surgical LLC

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1972193555
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
SELECT SURGICAL LLC
Practice address
1776 N Scottsdale Rd # 368
Scottsdale, AZ 85252
Phone
(480) 201-5264
Fax
(480) 393-1970
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Sarah Decker, PA-C
Title
PA-C/Owner
Phone
(480) 600-6849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

1776 N Scottsdale Rd # 368
Scottsdale, AZ 85252

Mailing address

1776 N Scottsdale Rd # 368
Scottsdale, AZ 85252
Phone (480) 201-5264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1972193555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N SCOTTSDALE RD # 368",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85252",
            "telephone_number": "480-201-5264",
            "fax_number": "480-393-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N SCOTTSDALE RD # 368",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85252",
            "telephone_number": "480-201-5264",
            "fax_number": "480-393-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PA-C/OWNER",
        "authorized_official_telephone_number": "480-600-6849",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.