ARIZONA CHILDRENS SURGERY PC – NPI #1104818822
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Health Care Provider Taxonomy Code for Surgery

ARIZONA CHILDRENS SURGERY PC is a surgeon located in MESA, AZ. NPPES has assigned the NPI number 1104818822 to ARIZONA CHILDRENS SURGERY PC on August 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is EAST VALLEY PEDIATRIC SURGERY. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 19 years ago on Jul 18, 2007. 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 ARIZONA CHILDRENS SURGERY PC below.

NPI Profile for
ARIZONA CHILDRENS SURGERY PC

NPI Number
1104818822
Enumeration Date

(about 21 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
ARIZONA CHILDRENS SURGERY PC
Former Legal Business Name: EAST VALLEY PEDIATRIC SURGERY
Primary location
1432 S DOBSON RD
STE 301
MESA, AZ 85202-4768
Phone: (480) 464-9400 Fax: (480) 464-9401
Mailing address
PO BOX 41090
MESA, AZ 85274-1090
Phone: (480) 464-9400 Fax: (480) 464-9401
Organization Subpart
No
Authorized Official
ENRIQUE GRISONI
DIRECTOR
Phone: (480) 512-6514
Updated
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
2086S0120X
- Surgery / Pediatric Surgery (Primary)		 AZ 28876

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.