SURGICAL ELITE OF AVONDALE, LLC – NPI #1598996894
Clinic/Center

SURGICAL ELITE OF AVONDALE, LLC is an AHC clinic located in AVONDALE, AZ. NPPES has assigned the NPI number 1598996894 to SURGICAL ELITE OF AVONDALE, LLC on August 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jan 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGICAL ELITE OF AVONDALE, LLC below.

NPI Profile for
SURGICAL ELITE OF AVONDALE, LLC

NPI Number
1598996894
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGICAL ELITE OF AVONDALE, LLC
Primary location
10815 W MCDOWELL RD
SUITE 101
AVONDALE, AZ 85392
Phone: (623) 433-0110 Fax: (623) 433-0111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC BOON
OFFICER/AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Jan 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 AZ OCS4020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669