EXCEPTIONAL SURGICAL PROVIDERS LLC
NPI 1215504998
Specialist/Technologist, Other - Surgical Assistant in Phoenix, AZ

NPI Status: Active since June 09, 2021

Contact Information

7600 N 15TH ST STE 290
PHOENIX, AZ
ZIP 85020
Phone: (602) 395-0718
Fax: (602) 277-8146

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  • Organization
  • Specialist/Technologist, Other
  • Surgical Assistant

About EXCEPTIONAL SURGICAL PROVIDERS LLC

This page provides the complete NPI Profile along with additional information for Exceptional Surgical Providers Llc, a provider established in Phoenix, Arizona operating as a Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1215504998 assigned on June 2021. The practitioner's primary taxonomy code is 246ZC0007X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Exceptional Surgical Providers Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Vanessa Koziol (Credentialing Specialist)

NPI
1215504998
Provider Name
EXCEPTIONAL SURGICAL PROVIDERS LLC
Entity Type
Organization
Location Address
7600 N 15TH ST STE 290 PHOENIX, AZ 85020
Location Phone
(602) 395-0718
Location Fax
(602) 277-8146
Mailing Address
8989 N GAINEY CENTER DR UNIT 145 SCOTTSDALE, AZ 85258
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2021
Last Update Date
07-07-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VANESSA KOZIOL

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(602) 395-0718

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDMEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215504998
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251008918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 0 + 8 + 9 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1215504998 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396315826ANGELA KO, MD PLLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(734) 945-5322
1356967236MELISSA LEONARD PA-C SURGICAL ASSIST
Organization
Physician Assistant (Surgical)7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1841957412 SHIONA MARIE SMITH PA-C
Individual
Physician Assistant (Surgical)7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1376290007COPPER STAR ANESTHESIA, LLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1912654393SALT RIVER ANESTHESIA LLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1205561917COMPREHENSIVE ANESTHESIA SERVICES, PLLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1336868934M L ROPER MD PLLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(023) 950-7186
1750013223DESERT ANESTHESIA SERVICES, LLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1285688689 WILLIAM CRAIG SCIBETTA MD
Individual
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 234-1803
1164868345SHAD MISSELDINE, INC.
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 312-0855
1255523213 SHAD MISSELDINE M.D.
Individual
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 312-0855
1316383599RYAN T SHANNON MD PLLC
Organization
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718
1619098712DR. RYAN TAYLOR SHANNON MD
Individual
Anesthesiology7600 N 15TH ST STE 290
PHOENIX, AZ 85020
(602) 395-0718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215504998, enumerated in the NPI registry as an "organization" on June 09, 2021

The provider is located at 7600 N 15th St Ste 290 Phoenix, Az 85020 and the phone number is (602) 395-0718

This medical organization specializes in Specialist/Technologist, Other with taxonomy code 246ZC0007X with a focus in Surgical Assistant

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 09, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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