SRP FACILITY PLLC (NPI# 1043608318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043608318 |
| Entity Type | Organization |
| Organization Name | SRP FACILITY PLLC |
| Practice Address |
3330 N 2nd St Suite 200 Phoenix AZ 85012-2368 |
| Practice Telephone | 9516990303 |
| Practice Fax Number | 9516990603 |
| Mailing Telephone | 9516990303 |
| Mailing Fax Number | 9516990603 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | SANJAY PATEL (MANAGER AND MEMBER) |
| Authorized Official Telephone | 9516990303 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
3330 N 2ND ST SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832706 | Stephen Henry Ponas | Urology | 3330 N 2nd St, Ste 601, Phoenix, AZ 85012-2368 | 2005-06-21 |
| 1528435252 | Mylene Ray Plado | Nurse Practitioner | 3330 N 2nd St, Suite 300, Phoenix, AZ 85012-2368 | 2015-08-28 |
| 1730572074 | Advanced Diagnostic Labs LLC | Clinical Medical Laboratory | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2015-03-11 |
| 1588068266 | John C Lincoln, LLC | Family Medicine | 3330 N 2nd St, Suite 500, Phoenix, AZ 85012-2368 | 2014-10-09 |
| 1851723449 | Akdhc, LLC | Internal Medicine | 3330 N 2nd St, Suite 206, Phoenix, AZ 85012-2368 | 2013-08-06 |
| 1790123834 | Sean Allan Marco | Internal Medicine | 3330 N 2nd St, Ste 300, Phoenix, AZ 85012-2369 | 2013-06-11 |
| 1184909707 | Favour Enterprises L.l.c | Pharmacy | 3330 N 2nd St, Phoenix, AZ 85012-2368 | 2011-10-14 |
| 1801189519 | Srp Facility | Clinic/Center | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2011-05-27 |
| 1639461601 | Abbigail Lynn Tittle | Nurse Practitioner | 3330 N 2nd St, Suite 300, Phoenix, AZ 85012-2368 | 2011-05-10 |
| 1629371414 | Sanjay R Patel Md Pllc | Physical Medicine & Rehabilitation | 3330 N 2nd St, Suite 200, Phoenix, AZ 85012-2368 | 2010-12-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1336756592 | Pinnacle Asc LLC | Clinic/Center | 3329 E Bell Rd # A2-a5, Phoenix, AZ 85032-2756 | 2020-09-30 |
| 1053927210 | Gila River Surgical Center LLC | Clinic/Center | 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274 | 2020-09-22 |
| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
| 1275198673 | Urology Asc- Phoenix, LLC | Clinic/Center | 1313 E Osborn Rd Ste 170b, Phoenix, AZ 85014-5678 | 2019-05-01 |
| 1053974592 | Maryvale Facility Group LLC | Clinic/Center | 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033-5518 | 2019-04-19 |
| 1831669522 | Cureteck Pain Center | Clinic/Center | 702 E Bell Rd Ste 103, Phoenix, AZ 85022-6648 | 2018-11-26 |
| 1194292730 | North Valley Pain Center Pllc | Clinic/Center | 15650 N Black Canyon Hwy # B121, Phoenix, AZ 85053-4064 | 2018-11-01 |
| 1578058897 | Uptown Surgery Center, LLC | Clinic/Center | 5133 N Central Ave Ste 200, Phoenix, AZ 85012-1438 | 2018-06-28 |
| 1083104186 | Valley Surgical Center LLC | Clinic/Center | 15601 N 28th Ave Ste 101, Phoenix, AZ 85053-4061 | 2018-05-14 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.