EASTSIDE SURGERY CENTER, LLC – NPI #1902428477
Clinic/Center

EASTSIDE SURGERY CENTER, LLC is an AHC clinic located in GLENDALE, AZ. NPPES has assigned the NPI number 1902428477 to EASTSIDE SURGERY CENTER, LLC on May 07, 2020. 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

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 EASTSIDE SURGERY CENTER, LLC below.

NPI Profile for
EASTSIDE SURGERY CENTER, LLC

NPI Number
1902428477
Enumeration Date

(more than 6 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
EASTSIDE SURGERY CENTER, LLC
Primary location
16390 N 59TH AVE STE 100
GLENDALE, AZ 85306-1711
Phone: (623) 298-1820 Fax: (602) 595-0968
Mailing address
13430 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85254-4058
Phone: (623) 334-4000 Fax:
Organization Subpart
No
Authorized Official
DAVID BERG
OWNER
Phone: (623) 334-4000
Updated
Certification Date
May 07, 2020

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)

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.