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SURGERY CENTERS OF ARIZONA, PC
Complete NPI Record 1750644480
Clinic/Center - Ambulatory Surgical in Scottsdale, AZ

NPI Status: Active since June 18, 2012

Contact Information

8901 E MOUNTAIN VIEW RD STE 205
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 559-0252
Fax: (480) 661-4141

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Is Organization Subpart
  29. Authorized Official Name Prefix Text
  30. Authorized Official Credential Text

Complete NPI Dataset

This page represents the complete record for NPI 1750644480. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750644480
The country code in the location address of the provider being identified.
Entity Type Code: 2
The telephone number associated with the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The date the provider was assigned a unique identifier (assigned an NPI).
The date that a record was last updated or changed.
Provider First Line Business Mailing Address: PO BOX 27206
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: LOS ANGELES
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 900270206
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Business Mailing Address Telephone Number: 2133850675
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 2133656429
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 8901 E MOUNTAIN VIEW RD STE 205
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SCOTTSDALE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: AZ
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 852584424
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4805590252
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 4806614141
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/18/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/18/2012
The date that a record was last updated or changed.
Authorized Official Last Name: RYCHLIK
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: DANIEL
The first name of the authorized official.
Authorized Official Middle Name: FRANK
The middle name of the authorized official.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 4805590252
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 261QA1903X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Authorized Official Name Prefix Text: MR.
Authorized Official Credential Text: M.D.