PHYSICIANS SURGERY CENTER OF TEMPE – NPI #1699777540
Clinic/Center

PHYSICIANS SURGERY CENTER OF TEMPE is an AHC clinic located in TEMPE, AZ. NPPES has assigned the NPI number 1699777540 to PHYSICIANS SURGERY CENTER OF TEMPE on August 11, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PHYSICIANS SURGERY CENTER OF TEMPE” is a dba name, the actual legal business name for this organization is PHYSICIANS SURGERY CENTER OF TEMPE, LLC. This provider is also associated with 2 additional names listed below. 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 Oct 24, 2024. 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 PHYSICIANS SURGERY CENTER OF TEMPE below.

NPI Profile for
PHYSICIANS SURGERY CENTER OF TEMPE, LLC

NPI Number
1699777540
Enumeration Date

(about 21 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
PHYSICIANS SURGERY CENTER OF TEMPE, LLC
Doing Business As (dba): PHYSICIANS SURGERY CENTER OF TEMPE
Other name(s)
All associated names:
Doing Business As (dba)
Arizona Specialty Surgery Center
Doing Business As (dba)
Physicians Surgery Center of Tempe
Primary location
1940 E SOUTHERN AVE
TEMPE, AZ 85282
Phone: (480) 820-7101 Fax: (480) 820-9291
1 Other location(s):
2905 W Warner Rd Ste 10
Chandler, AZ 85224-1674
Phone: (480) 820-7101
Fax: (480) 820-9291
Mailing address
14201 DALLAS PKWY
DALLAS, TX 75254-2916
Phone: (727) 633-8939 Fax:
Organization Subpart
No
Authorized Official
ERIC BOON
OFFICER, AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Oct 24, 2024

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.

Identifiers

Identifiers for PHYSICIANS SURGERY CENTER OF TEMPE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREAZ490004403
medicaidAZ459801
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 OSC0043

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
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669