BDPEC SHOW LOW ASC LLC (NPI# 1366756579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366756579 |
| Entity Type | Organization |
| Organization Name | BDPEC SHOW LOW ASC LLC |
| Practice Address |
1500 S White Mountain Rd Suite 300 Show Low AZ 85901-7111 |
| Mailing Address |
4800 N 22nd St Phoenix AZ 85016-4701 |
| Practice Telephone | 9285373937 |
| Practice Fax Number | 9285374729 |
| Mailing Telephone | 6029551000 |
| Mailing Fax Number | 6025084830 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | DONALD G SNYDER (CFO) |
| Authorized Official Telephone | 6029551000 |
| 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 |
| Street Address |
1500 S WHITE MOUNTAIN RD SUITE 300 |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670398 | Debra L Bergstrom | Nurse Practitioner | 1500 S White Mountain Rd, Suite 401, Show Low, AZ 85901-7111 | 2005-09-20 |
| 1659807261 | Summit Healthcare Medical Associates | Pain Medicine | 1500 S White Mountain Rd, Suite 300, Show Low, AZ 85901-7111 | 2017-05-03 |
| 1679026017 | Ronald G Klug | Nurse Practitioner | 1500 S White Mountain Rd, Hwy 260, Suite 201, Show Low, AZ 85901-7111 | 2016-08-02 |
| 1528468451 | Akdhc, LLC | Internal Medicine | 1500 S White Mountain Rd, Suite 201, Show Low, AZ 85901-7111 | 2014-08-28 |
| 1366786550 | Ophthalmic Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 1500 S White Mountain Rd, Suite 300, Show Low, AZ 85901-7111 | 2012-11-12 |
| 1609106145 | Barnet Dulaney Perkins Eye Center | Optometrist | 1500 S White Mountain Rd, Suite 300, Show Low, AZ 85901-7111 | 2010-01-06 |
| 1508987827 | Heart Health Care LLC | Nurse Practitioner | 1500 S White Mountain Rd, Suite 201, Show Low, AZ 85901-7111 | 2007-04-03 |
| 1740392554 | Renal Care Group Arizona, LLC | Clinic/Center | 1500 S White Mountain Rd, Suite 204, Show Low, AZ 85901-7111 | 2006-08-31 |
| 1538104021 | Advanced Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 1500 S White Mountain Rd, Suite 300, Show Low, AZ 85901-7111 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598700635 | Barnet Dulaney Surgery Center | Clinic/Center | 1610 S White Mountain Rd, Show Low, AZ 85901-7106 | 2006-06-20 |
| 1821361130 | Barnet Dulaney Perkins Eye Center II Pllc | Clinic/Center | 1610 S White Mountain Rd, Show Low, AZ 85901-7106 | 2012-02-16 |
| 1104866904 | Southwestern Eye Center | Clinic/Center | 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | 2006-06-08 |
| 1164487922 | White Mountain Surgical Specialists PC | Clinic/Center | 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 | 2006-04-17 |
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| 1013539709 | Bsc Biltmore LLC | Clinic/Center | 2222 E Highland Ave Ste 100, Phoenix, AZ 85016-4874 | 2020-05-15 |
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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.