PHOENIX ORTHOPEDIC AMBULATORY CENTER, LLC (NPI# 1336131143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336131143 |
| Entity Type | Organization |
| Organization Name | PHOENIX ORTHOPEDIC AMBULATORY CENTER, LLC |
| Other Organization Name | GATEWAY SURGERY CENTER |
| Practice Address |
690 N Cofco Center Ct Suite 150 Phoenix AZ 85008-6462 |
| Practice Telephone | 6022884441 |
| Practice Fax Number | 6022884480 |
| Mailing Telephone | 6022884441 |
| Mailing Fax Number | 6022884480 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC3177 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS OF ARIZONA | AZ0208190 | 01 |
| Other Name | Type Code |
|---|---|
| Gateway Surgery Center | Doing Business As Name - Organization |
| Street Address |
690 N COFCO CENTER CT SUITE 150 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933635 | Douglas P Hartzler | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6474 | 2005-06-21 |
| 1902251077 | Advanced Hand and Wrist Specialists | Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2016-04-26 |
| 1568714152 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 190, Phoenix, AZ 85008-6462 | 2012-10-08 |
| 1841510898 | Keith Alan Jarbo | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2010-06-01 |
| 1831414051 | Shreepal M Shah | Pediatrics | 690 N Cofco Center Ct, Suite 230, Phoenix, AZ 85008-6462 | 2010-03-30 |
| 1598088601 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 270, Phoenix, AZ 85008-6462 | 2010-03-03 |
| 1134453020 | Kathryn Marie Dektor | Physical Therapist | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6462 | 2009-09-24 |
| 1275716011 | Arizona Hand and Wrist Specialists | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2007-12-16 |
| 1194915918 | Daniel Schlecht | Physician Assistant | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2007-07-27 |
| 1174738785 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 690 N Cofco Center Ct, Suite 260, Phoenix, AZ 85008-6462 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on PHOENIX ORTHOPEDIC AMBULATORY CENTER, LLC.
| 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.