AHWATUKEE AMBULATORY SURGICAL CENTER, LLC (NPI# 1457898827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457898827 |
| Entity Type | Organization |
| Organization Name | AHWATUKEE AMBULATORY SURGICAL CENTER, LLC |
| Practice Address |
15810 S 45th St Suite 140 Phoenix AZ 85048-7694 |
| Practice Telephone | 4802394799 |
| Mailing Telephone | 4802394799 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | DR. TODD KEITH FARNWORTH (MANAGER) |
| Authorized Official Telephone | 4802394799 |
| 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 |
15810 S 45TH ST SUITE 140 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564472 | Carl Jonathan Beecroft | Podiatrist | 15810 S 45th St, Phoenix, AZ 85048-7697 | 2005-08-02 |
| 1295194207 | Cutting Edge Rnfa, LLC | Registered Nurse | 15810 S 45th St, Phoenix, AZ 85048-7694 | 2016-02-18 |
| 1508117292 | Smi Imaging, LLC | Radiology | 15810 S 45th St, Suite 110, Phoenix, AZ 85048-7694 | 2012-09-21 |
| 1679872303 | Ahwatukee Foothills Plastic Surgery PC | Plastic Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2011-03-21 |
| 1265669824 | Alex Michael Stewart | Podiatrist | 15810 S 45th St, Suite 190, Phoenix, AZ 85048-7694 | 2009-06-22 |
| 1043433949 | Palo Verde Plastic Surgery PC | Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7694 | 2007-04-10 |
| 1568685477 | Ahwatukee Foothills Plastic Surgery PC | Surgery | 15810 S 45th St, Suite 140, Phoenix, AZ 85048-7697 | 2007-04-10 |
| 1114063054 | Karen B Rein | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-29 |
| 1700930963 | Julie L Tindall | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-23 |
| 1376691741 | Anthony W Harden Physical Therapy | Physical Therapist | 15810 S 45th St, Suite 105, Phoenix, AZ 85048 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 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 |
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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.