Arizona Advanced Surgical Assists LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

ARIZONA ADVANCED SURGICAL ASSISTS LLC

Practice address

5235 E Southern Ave Ste D106-440
Mesa, AZ 85206-3626

Phone

(480) 205-9880

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Jenna Fisher

Title

Manager

Phone

(602) 826-5090

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafath U Baig, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Mesa, AZ
  • NPI 1194883223

  AZ, Orthopaedic Surgery

  Medicare reassignment NPD
• Addison Collins, PA-C

  • Surgical Physician Assistant
  • Mesa, AZ
  • NPI 1578270195

  AZ

  Medicare reassignment
• Michele D Kassmeier, MMS, MPH, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
  • NPI 1912406869

  AZ

  Medicare reassignment
• Justin Dominic Arthur Mauro, PA-C

  • Orthopaedic Surgery of the Spine Physician
  • Mesa, AZ
  • NPI 1962119719

  AZ

  Medicare reassignment
• Stephanie L Terrill, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1861971590

  AZ

  Medicare reassignment
• Jordan D Villa, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1255971578

  AZ

  Medicare reassignment
• Tessa Sullivan

  • Physician Assistant
  • Mesa, AZ
  • NPI 1508672213
  NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1992299499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 E SOUTHERN AVE STE D106-440",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063626",
            "telephone_number": "602-826-5090",
            "fax_number": "480-776-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 E SOUTHERN AVE STE D106-440",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063626",
            "telephone_number": "480-205-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADVANCED SURGICAL ASSISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-826-5090"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mesa, AZ
• Registered Nurse First Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.