Provider Demographics
NPI:1619557519
Name:SCOTTSDALE MULTISPECIALTY SURGERY CENTER
Entity Type:Organization
Organization Name:SCOTTSDALE MULTISPECIALTY SURGERY CENTER
Other - Org Name:PARADISE VALLEY MULTI SPECIALTY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-421-8872
Mailing Address - Street 1:7125 E LINCOLN DR STE A201
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4429
Mailing Address - Country:US
Mailing Address - Phone:480-680-2250
Mailing Address - Fax:480-680-2251
Practice Address - Street 1:7125 E LINCOLN DR STE A201
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-4429
Practice Address - Country:US
Practice Address - Phone:480-680-2250
Practice Address - Fax:480-680-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical