Provider Demographics
NPI:1396232559
Name:SCOTTSDALE SURGICAL PARTNERS LLC
Entity Type:Organization
Organization Name:SCOTTSDALE SURGICAL PARTNERS LLC
Other - Org Name:NORTH SCOTTSDALE ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP ASC OPERATION AND BUSINESS SERV
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:209-956-7725
Mailing Address - Street 1:PO BOX 392569
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9569
Mailing Address - Country:US
Mailing Address - Phone:209-956-7725
Mailing Address - Fax:209-956-7733
Practice Address - Street 1:8901 E RAINTREE DR STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7026
Practice Address - Country:US
Practice Address - Phone:209-956-7725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty