EMPRISE SURGICAL ASSOCIATE PLLC NPI 1144364795

NPI Information

  • NPI: 1144364795
  • Provider Name: EMPRISE SURGICAL ASSOCIATE PLLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 7846 E VISTA BONITA DR
    SCOTTSDALE, AZ
    ZIP 85255
  • Phone: (480) 860-1045

Map and Directions

Get Directions

NPI Details

EMPRISE SURGICAL ASSOCIATE PLLC is a surgical physician assistant in Scottsdale, AZ. EMPRISE SURGICAL ASSOCIATE PLLC NPI is 1144364795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7846 E VISTA BONITA DR
SCOTTSDALE, AZ
ZIP 85255-123
Phone: (480) 860-1045
Fax: (480) 664-8889

The provider's authorized official is Samuel David Mcreynolds .
The authorized official title is Physician Assistant and has the following contact phone number (480) 860-1045.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 3/28/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1480ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1881062MEDICAIDARIZONA
2100810MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3R11743MEDICARE UPINARIZONA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI