METRO SURGERY CENTER, LLC – NPI #1790104248
Clinic/Center

METRO SURGERY CENTER, LLC is an AHC clinic located in PEORIA, AZ. NPPES has assigned the NPI number 1790104248 to METRO SURGERY CENTER, LLC on April 14, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is METRO SURGERY CENTER, LP. 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 11, 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 METRO SURGERY CENTER, LLC below.

NPI Profile for
METRO SURGERY CENTER, LLC

NPI Number
1790104248
Enumeration Date

(more than 12 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
METRO SURGERY CENTER, LLC
Former Legal Business Name: METRO SURGERY CENTER, LP
Primary location
6790 W THUNDERBIRD RD
PEORIA, AZ 85381
Phone: (623) 979-1717 Fax: (623) 223-1254
Mailing address
14201 DALLAS PKWY
DALLAS, TX 75254-2916
Phone: (469) 893-2500 Fax: (504) 322-3284
Organization Subpart
No
Authorized Official
ERIC BOON
MARKET PRESIDENT
Phone: (480) 567-0269
Updated
Certification Date
Oct 11, 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.

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 OSC3385

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