INTERVENTIONAL SURGICAL, LLC


Address: 202 E Earll Dr, 360, Phoenix, AZ 85012-2634
Phone: 4807885602

INTERVENTIONAL SURGICAL, LLC (NPI# 1467993287) 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) 1467993287
Entity Type Organization
Organization Name INTERVENTIONAL SURGICAL, LLC
Practice Address 202 E Earll Dr
360
Phoenix
AZ 85012-2634
Practice Telephone 4807885602
Enumeration Date 2017-03-13
Last Update Date 2017-03-13
Authorized Official Name HYON PAK (MEMBER)
Authorized Official Telephone 4807885602
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 202 E EARLL DR
360
City PHOENIX
State AZ
Zip Code 85012-2634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033118591 Laura A Masters Social Worker 202 E Earll Dr, Suite 420, Phoenix, AZ 85012-2634 2005-07-18
1679928790 Lamia Abdouni Nurse Practitioner 202 E Earll Dr, Suite 160, Phoenix, AZ 85012-2634 2016-04-26
1073910758 Michael Wilson Case Manager/Care Coordinator 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 2014-11-25
1427455104 Aida Valenzuela Dejonghe Case Manager/Care Coordinator 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 2014-11-25
1013314087 Sheri Marie Patton Case Manager/Care Coordinator 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647 2014-11-19
1538573225 Melissa Leigh Suchon Nurse Practitioner 202 E Earll Dr, Suite 450, Phoenix, AZ 85012-2634 2014-06-20
1700201076 Holly Szczakowski Case Manager/Care Coordinator 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 2014-02-24
1275884330 Randall Sean Rollinson Counselor 202 E Earll Dr, Ste. 160, Phoenix, AZ 85012-2634 2012-09-28
1487916383 Shannon Arellano Case Manager/Care Coordinator 202 E Earll Dr, Phoenix, AZ 85012-2634 2012-06-15
1447545645 Kristen Lyn Robinson Family Medicine 202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2634 2011-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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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...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City PHOENIX
Zip Code 85012

Improve Information

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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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