PHOENIX SPINE GOODYEAR ASC, LLC – NPI #1871667014
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

PHOENIX SPINE GOODYEAR ASC, LLC is a neurological surgeon located in GOODYEAR, AZ. NPPES has assigned the NPI number 1871667014 to PHOENIX SPINE GOODYEAR ASC, LLC on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was last updated on Sep 05, 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 PHOENIX SPINE GOODYEAR ASC, LLC below.

NPI Profile for
PHOENIX SPINE GOODYEAR ASC, LLC

NPI Number
1871667014
Enumeration Date

(more than 19 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
PHOENIX SPINE GOODYEAR ASC, LLC
Doing Business As (dba): PHOENIX SPINE GOODYEAR ASC, LLC
Primary location
140 N LITCHFIELD RD
SUITE 110
GOODYEAR, AZ 85338-1277
Phone: (602) 256-2525 Fax: (602) 256-0795
Mailing address
140 N LITCHFIELD RD STE 110
GOODYEAR, AZ 85338-1226
Phone: (602) 256-2525 Fax: (602) 256-0795
Organization Subpart
No
Authorized Official
ERIC BOON
AO
Phone: (480) 567-0269
Updated
Certification Date
Sep 05, 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 PHOENIX SPINE GOODYEAR ASC, LLC

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
medicaidAZ987125
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
207T00000X
- Neurological Surgery (Primary)
AZ 28519
208100000X
- Physical Medicine & Rehabilitation
AZ 35838

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.