Provider Demographics
NPI:1245647163
Name:ARIZONA SURGEONS LLC
Entity type:Organization
Organization Name:ARIZONA SURGEONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMEECHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-466-2091
Mailing Address - Street 1:PO BOX 12430
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-2430
Mailing Address - Country:US
Mailing Address - Phone:602-466-2091
Mailing Address - Fax:
Practice Address - Street 1:5115 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1478
Practice Address - Country:US
Practice Address - Phone:602-466-2091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ162507Medicare PIN
AZZ162500Medicare PIN
AZZ163593Medicare PIN
AZZ164117Medicare PIN