Provider Demographics
NPI:1154326650
Name:SCOTTSDALE SURGICAL PARTNERS LLC
Entity Type:Organization
Organization Name:SCOTTSDALE SURGICAL PARTNERS LLC
Other - Org Name:NORTH VALLEY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-207-3716
Mailing Address - Street 1:3033 N. 44TH ST.
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018
Mailing Address - Country:US
Mailing Address - Phone:480-207-3716
Mailing Address - Fax:623-266-0053
Practice Address - Street 1:8901 E. RAINTREE DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-767-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
AZOSC3774261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty