OCOTILLO SURGERY CENTER LLC


Address: 3920 S Rome Street, Gilbert, AZ 85297
Phone: 4805974778

OCOTILLO SURGERY CENTER LLC (NPI# 1386280436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386280436
Entity Type Organization
Organization Name OCOTILLO SURGERY CENTER LLC
Practice Address 3920 S Rome Street
Gilbert
AZ 85297
Mailing Address 1900 W Frye Rd Ste 1
Chandler
AZ 85224-6235
Practice Telephone 4805974778
Enumeration Date 2019-11-25
Last Update Date 2020-03-25
Authorized Official Name DR. MATTHEW MOORE (MANAGING MEMBER)
Authorized Official Telephone 4805974778
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 3920 S ROME STREET
City GILBERT
State AZ
Zip Code 85297

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710592357 Center for Orthopedic Research and Education LLC Durable Medical Equipment & Medical Supplies 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 2020-09-10
1508483827 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 2020-07-02
1225653074 Sigma Health and Wellness LLC Nurse Practitioner 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 2020-06-08
1750928727 Emily Paige Stott Specialist/Technologist 4141 E Sidewinder Ct, Gilbert, AZ 85297 2019-12-09
1366094930 Psa Behavioral Health Agency Community/Behavioral Health 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 2019-07-12
1508337213 Orthopedic Specialists of North America Pllc Physical Therapist 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 2018-12-07
1346766698 Charles Stanley Bailey Optometrist 3098 E. Waterman Way, Gilbert, AZ 85297 2017-08-18
1982155503 Sheli K Jensen Marriage & Family Therapist 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 2016-10-19
1407302763 Kelly Jo Plencner-vega Advanced Practice Midwife 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 2016-08-28
1134575657 Edna Maria Yepez Occupational Therapy Assistant 4100 S. Lindsay Rd., Suite 114, Gilbert, AZ 85297 2016-05-13
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386277069 Southwest Endoscopy LLC Clinic/Center 2223 E Baseline Rd Ste B, Gilbert, AZ 85234-2336 2020-02-20
1437795598 Pain Specialty Surgical Center Clinic/Center 3303 E Baseline Rd Ste 104, Gilbert, AZ 85234-2739 2019-11-25
1629559208 Orthoarizona Surgery Center Gilbert, LLC Clinic/Center 1675 E. Melrose Street, Suite 201, Gilbert, AZ 85297-7500 2018-08-22
1154832145 Gilbert Facility Group, LLC Clinic/Center 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 2017-10-17
1033400619 Santan Surgery Center, LLC Clinic/Center 1704 E Boston St, Gilbert, AZ 85295-6223 2011-04-29
1659683662 Premier Endoscopy Center, LLC Clinic/Center 2563 S Val Vista Drive, Gilbert, AZ 85296 2010-07-07
1063693588 Southwest Endoscopy & Surgicenter LLC Clinic/Center 2223 E Baseline Road, Suite B, Gilbert, AZ 85234-2397 2007-11-27
1154387710 Warner Park Surgery Center LLC Clinic/Center 3367 S. Mercy Road, Suite 101, Gilbert, AZ 85297 2006-04-24
1598372799 Mercy Facility LLC Clinic/Center 3367 S Mercy Rd Ste 203, Gilbert, AZ 85297-7604 2020-09-30
1497369847 Crossroads Treatment Center LLC Clinic/Center 3755 S Gilbert Rd Ste 109, Gilbert, AZ 85297-2008 2020-09-03
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Competitor

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City GILBERT
Zip Code 85297

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Dataset Information

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.

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