REGENCY AMBULATORY SURGERY CENTER ONE, LLC (NPI# 1073155834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073155834 |
| Entity Type | Organization |
| Organization Name | REGENCY AMBULATORY SURGERY CENTER ONE, LLC |
| Practice Address |
14753 W Mountain View Blvd Surprise AZ 85374 |
| Mailing Address |
10240 W Indian School Rd Ste 115 Phoenix AZ 85037-5905 |
| Practice Telephone | 6232439077 |
| Mailing Telephone | 6232439077 |
| Mailing Fax Number | 6232719826 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | DR. JASON LEE MUSSMAN (CEO/SOLE MEMBER) |
| Authorized Official Telephone | 6232439077 |
| 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 |
14753 W MOUNTAIN VIEW BLVD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509880 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2020-05-12 |
| 1376176115 | Regency Ambulatory Surgery Center One | Surgery | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| 1679078844 | Arizona Dental Professionals, P.C. | Dentist | 16581 W Bell Rd Ste 108, Surprise, AZ 85374 | 2018-03-28 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205294 | National Cardiovascular Surgery Center of Surprise, LLC | Clinic/Center | 12361 W Bola Dr Ste 112, Surprise, AZ 85378-9021 | 2020-05-06 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1679079339 | Surprise Facility Group, LLC | Clinic/Center | 16960 W Bell Rd Ste 502, Surprise, AZ 85374-8946 | 2018-04-02 |
| 1932644606 | Innovative Surgery Center LLC | Clinic/Center | 15547 N Reems Rd Bldg A, Surprise, AZ 85374-9583 | 2017-01-04 |
| 1710509880 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2020-05-12 |
| 1003438573 | National Cardiovascular Institute of Surprise, LLC | Clinic/Center | 12361 W Bola Dr Ste 112, Surprise, AZ 85378-9021 | 2020-05-07 |
| 1881216372 | Desert Mirage Surgery Center, LLC | Clinic/Center | 12361 W Bola Dr Ste 112, Surprise, AZ 85378-9021 | 2020-05-07 |
| 1740683762 | Reems Surgery Center LLC | Clinic/Center | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2014-10-04 |
| 1376819300 | Prime Meridian Investment Group | Clinic/Center | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-03-23 |
| 1013195569 | Sun City West Surgery Center, LLC | Clinic/Center | 12361 W Bola Dr, Suite 112, Surprise, AZ 85374-9019 | 2008-02-07 |
| Find all providers in SURPRISE | ||||
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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.