MOUNTAIN CREEK SURGICAL CONSULTANTS – NPI #1093832925
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

MOUNTAIN CREEK SURGICAL CONSULTANTS is a surgeon located in SHOW LOW, AZ. NPPES has assigned the NPI number 1093832925 to MOUNTAIN CREEK SURGICAL CONSULTANTS on March 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 17 years ago on Feb 24, 2009. 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 MOUNTAIN CREEK SURGICAL CONSULTANTS below.

NPI Profile for
MOUNTAIN CREEK SURGICAL CONSULTANTS

NPI Number
1093832925
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
MOUNTAIN CREEK SURGICAL CONSULTANTS
Primary location
5171 CUB LAKE RD
SUITE C390
SHOW LOW, AZ 85901-7888
Phone: (928) 532-5463 Fax: (928) 532-8474
Mailing address
5171 CUB LAKE RD STE C390
SHOW LOW, AZ 85901-7891
Phone: (928) 532-5463 Fax: (928) 532-8474
Organization Subpart
No
Authorized Official
JEFFERY BUTTE
PRESIDENT
Phone: (928) 532-5463
Updated
Identifiers

Identifiers for MOUNTAIN CREEK SURGICAL CONSULTANTS

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
OTHERBCBS OF AZAZAZ0427710
MEDICAIDAZ072852
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
208600000X
- Surgery (Primary)
AZ 4351

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.