REMBRANDT OUTPATIENT SURGERY CENTER PLLC (NPI# 1164930731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164930731 |
| Entity Type | Organization |
| Organization Name | REMBRANDT OUTPATIENT SURGERY CENTER PLLC |
| Other Organization Name | REMBRANDT OUTPATIENT SURGERY CENTER |
| Practice Address |
6859 E Rembrandt Ave Ste 114 Mesa AZ 85212-3629 |
| Mailing Address |
6859 E Rembrandt Ave Ste 111 Mesa AZ 85212-3629 |
| Practice Telephone | 4808096266 |
| Practice Fax Number | 6026265077 |
| Mailing Telephone | 6023620922 |
| Mailing Fax Number | 4806217780 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | KELLY KANTARTZIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4808096266 |
| 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 |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | JOHN L COUVARAS | 1790879799 | 01 |
| Other Name | Type Code |
|---|---|
| Rembrandt Outpatient Surgery Center | Doing Business As Name - Organization |
| Street Address |
6859 E REMBRANDT AVE STE 114 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735384 | Rembrandt Treatment Center LLC | Clinic/Center | 6859 E Rembrandt Ave Ste 101, Mesa, AZ 85212-3629 | 2020-09-22 |
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1760960405 | Bertha, LLC | Clinic/Center | 3850 E Baseline Rd Ste 117, Mesa, AZ 85206-4404 | 2018-08-03 |
| 1770093270 | Az Facility Services | Clinic/Center | 1839 S Alma School Rd Ste 354, Mesa, AZ 85210-3028 | 2017-10-10 |
| 1417479635 | Tcsc Ev LLC | Clinic/Center | 1114 S Higley Rd Ste 101, Mesa, AZ 85206-3000 | 2017-07-10 |
| 1972024917 | Trusted Care East Valley Az, LLC | Clinic/Center | 1114 S Higley Road Ste 101, Mesa, AZ 85206 | 2017-06-29 |
| 1477000602 | Discover Surgical Center LLC | Clinic/Center | 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | 2016-09-06 |
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 1982031936 | Modern Ambulatory Surgery Center, PC | Clinic/Center | 4860 E Baseline Road, Suite 101, Mesa, AZ 85206-4670 | 2013-10-07 |
| Find all providers in MESA | ||||
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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.