Sun City Az Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OTC3702 Issued in AZ

Legal business name

SUN CITY AZ ENDOSCOPY ASC LLC

Doing business as

Sun City Endoscopy Center

Practice address

13640 N 99TH Ave
Suite 700
Sun City, AZ 85351-2861

Phone

(623) 972-5083

Fax

(623) 523-0505

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Sun City Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Sun City Az Endoscopy ASC LLCCCN 03C0001080

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Daryl Scott Hutchinson, M.D.

  • Gastroenterology Physician
  • Sun City, AZ
  • NPI 1881689792
  NPD (past)
• Nam Nguyen, CRNA

  • Certified Registered Nurse Anesthetist
  • Sun City, AZ
  • NPI 1780592071
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1972578771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N 99TH AVE",
            "address_2": "SUITE 700",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512861",
            "telephone_number": "623-972-5083",
            "fax_number": "623-523-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY AZ ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OTC3702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun City Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina C Suguitan, PHARMD
• Samantha Sullivan, PT
• Pamela Diane Suma
• Sun Chase Care (Home Instead #817)
• Sun Cities Medical Group
• Sun City Cardiac Center, Inc.
• Sun City Care
• Sun City Dental Care
• Sun City Dental PLLC (Smile Sun City)
• Sun City Dialysis Center LLC (Palm Brook Dialysis Center)

• Ambulatory Surgical Clinic/Center in Sun City, AZ
• Providers in Sun City, 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.