GYNESURGICAL, LLC (NPI# 1487888426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487888426 |
| Entity Type | Organization |
| Organization Name | GYNESURGICAL, LLC |
| Practice Address |
1008 E Mcdowell Rd Phoenix AZ 85006-2603 |
| Mailing Address |
3410 N 4th Ave Phoenix AZ 85013-3905 |
| Practice Telephone | 6022546369 |
| Practice Fax Number | 6022546372 |
| Mailing Telephone | 6022411944 |
| Mailing Fax Number | 6022411917 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-08-03 |
| Authorized Official Name | KELLY H. ROY (PROPRIETOR) |
| Authorized Official Telephone | 6022411944 |
| Authorized Official Credential | M.D. |
| 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 |
1008 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787693 | Kelly H Roy | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2005-08-17 |
| 1093327470 | Edie Watson | Nurse Practitioner | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2020-08-18 |
| 1245613256 | Paradise Valley Surgery Center | Clinic/Center | 1008 E Mcdowell Rd, Suite C, Phoenix, AZ 85006-2603 | 2015-07-08 |
| 1003099367 | Kelly H. Roy, Md, PC | Internal Medicine | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2007-12-10 |
| 1114107323 | T.a. Jantz, D.o., P.C. | Surgery | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-11-06 |
| 1295956621 | Kendis Moore Drake | Nurse Practitioner | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-05-02 |
| 1457476418 | Laser Surgery Center, LLC | Clinic/Center | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-03-20 |
| 1063461580 | Understanding Women PC | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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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 |
| Find all providers in PHOENIX | ||||
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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.