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ARIZONA CENTER FOR NEUROSURGERY LTD NPI 1871667014


NPI Information

NPI: 1871667014
Provider Name: ARIZONA CENTER FOR NEUROSURGERY, LTD

Doing Business As: PHOENIX SPINE SURGERY CENTER

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 03D2214389

Address:
140 N LITCHFIELD RD
SUITE 110
GOODYEAR, AZ
ZIP 85338
Phone: (602) 256-2525
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ARIZONA CENTER FOR NEUROSURGERY, LTD is a neurological surgery in Goodyear, AZ. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ARIZONA CENTER FOR NEUROSURGERY, LTD NPI is 1871667014. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phoenix Spine Surgery Center.

The provider's business location address is:

140 N LITCHFIELD RD
SUITE 110
GOODYEAR, AZ
ZIP 85338-277
Phone: (602) 256-2525
Fax: (602) 256-0795

The provider's authorized official is Daniel M Lieberman .
The authorized official title is Ceo and has the following contact phone number (602) 385-0430.

The CLIA number assigned to this NPI record is 03D2214389 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation35838ARIZONANo
2207T00000XNeurological Surgery28519ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1987125MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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