AKDHC SURGERY CENTER, LLC (NPI# 1073030532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073030532 |
| Entity Type | Organization |
| Organization Name | AKDHC SURGERY CENTER, LLC |
| Practice Address |
6622 N 91st Avenue Suite 100 Glendale AZ 85305 |
| Mailing Address |
3333 E Camelback Rd Ste 180 Phoenix AZ 85018-2396 |
| Practice Telephone | 6025474668 |
| Practice Fax Number | 6235357869 |
| Mailing Telephone | 6027596883 |
| Mailing Fax Number | 6022243315 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | MISS ADONIS ESCOBEDO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6027596883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
AZ | Allopathic & Osteopathic Physicians | |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013403161 | Akdhc Surgery Center, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 | 2018-07-02 |
| 1285120352 | Akdhc Surgery Center, LLC | Clinic/Center | 3600 W Tangerine Rd, Suite 100, Marana, AZ 85658 | 2018-07-02 |
| 1164949996 | Akdhc Surgery Center, LLC | Internal Medicine | 3320 N 2nd St, Phoenix, AZ 85012-2319 | 2017-08-23 |
| 1316464159 | Akdhc Surgery Center, LLC | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2017-08-23 |
| 1346469731 | Akdhc Surgery Center, LLC | Internal Medicine | 3333 E Camelback Rd Ste 180, Phoenix, AZ 85018-2396 | 2007-04-24 |
| Street Address |
6622 N 91ST AVENUE SUITE 100 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1447772835 | Trekfit LLC | Dietitian, Registered | 9033 West State Avenue, Glendale, AZ 85305 | 2017-07-07 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1124334933 | Marlana Angela Morrow | Pharmacist | 8990 W. Glendale Ave., Glendale, AZ 85305 | 2010-08-31 |
| 1750444261 | Norma Euyenia Quintero | Technician | 8950 W Sierra Vista, Glendale, AZ 85305 | 2006-12-18 |
| 1093232514 | O'lua Therapy LLC | Occupational Therapy Assistant | 9524 W Camelback Rd, Ste. C-130 Pmb 232, Glendale, AZ 85305 | 2017-08-25 |
| 1427325273 | Modern Dental Professionals-arizona PC | Dentist | 9230 W Northern Ave, 106, Glendale, AZ 85305-1100 | 2011-11-22 |
| 1134142409 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2006-07-26 |
| 1326453002 | Kaiser Sultani | Optometrist | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2014-06-21 |
| Find all providers in zip 85305 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276952 | Arrowhead North Surgery Center, LLC | Clinic/Center | 16390 N 59th Ave Ste 100, Glendale, AZ 85306-1711 | 2020-05-07 |
| 1578197869 | Windsor Surgery Center LLC | Clinic/Center | 800 S Central Ave Ste 102, Glendale, CA 91204-4370 | 2020-02-26 |
| 1740814938 | Windsor Surgery Center of Glendale LLC | Clinic/Center | 800 S Central Ave Ste 103, Glendale, CA 91204-4395 | 2020-02-26 |
| 1700417797 | Broadway Wellness Center Inc | Clinic/Center | 716 W Broadway Ste 100, Glendale, CA 91204-1010 | 2020-01-29 |
| 1891257473 | Westgate Surgery Center, LLC | Clinic/Center | 7330 N 99th Ave Ste 100, Glendale, AZ 85307-3016 | 2019-04-03 |
| 1194291401 | Affiliated Physicians & Surgeons, Ltd | Clinic/Center | 20325 N 51st Ave Ste 102-104, Glendale, AZ 85308-5674 | 2018-10-15 |
| 1558853234 | Broadway Laser Surgical Institute, Inc. | Clinic/Center | 1100 E Broadway Ste 201, Glendale, CA 91205-1380 | 2018-05-30 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1194185637 | Avalon Surgery and Robotic Center, LLC | Clinic/Center | 716 W Broadway Ste 200, Glendale, CA 91204-1010 | 2016-02-25 |
| 1568820892 | Socal Outpatient Surgery Center | Clinic/Center | 1141 N Brand Blvd Ste 202, Glendale, CA 91202-3660 | 2016-02-01 |
| Find all providers in GLENDALE | ||||
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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.