ADVANCED MINIMALLY INVASIVE SURGICAL – NPI #1295056919
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.

ADVANCED MINIMALLY INVASIVE SURGICAL is a surgeon located in PHOENIX, AZ. NPPES has assigned the NPI number 1295056919 to ADVANCED MINIMALLY INVASIVE SURGICAL on June 16, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Oct 18, 2022. 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 ADVANCED MINIMALLY INVASIVE SURGICAL below.

NPI Profile for
ADVANCED MINIMALLY INVASIVE SURGICAL

NPI Number
1295056919
Enumeration Date

(about 16 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
ADVANCED MINIMALLY INVASIVE SURGICAL
Primary location
202 E EARLL DR STE 360
PHOENIX, AZ 85012-2677
Phone: (480) 788-5621 Fax: (480) 779-1277
6 Other location(s):
1455 W Chandler Blvd Ste B11
Chandler, AZ 85224-6128
Phone: (480) 788-5621
Fax: (480) 779-1277
333 N Dobson Rd
Chandler, AZ 85224-4412
Phone: (480) 788-5621
Fax: (480) 779-1277
202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone: (480) 788-5621
Fax: (480) 779-1277
5060 N 19th Ave Ste 106
Phoenix, AZ 85015-3211
Phone: (480) 788-5621
Fax: (480) 779-1277
5060 N 19th Ave Ste 207
Phoenix, AZ 85015-3212
Phone: (480) 788-5621
Fax: (480) 779-1277
2737 W Baseline Rd Ste 27
Tempe, AZ 85283-1051
Phone: (480) 788-5621
Fax: (480) 779-1277
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIUP KIM
MANAGER
Phone: (480) 299-7654
Updated
Certification Date
Oct 18, 2022

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 ADVANCED MINIMALLY INVASIVE SURGICAL

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
otherMEDICARE PTANZ139140
otherPTANAZZ139139
otherRR PTANP00924643
medicaidAZ501341
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.

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.