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JCL SURGERY LLC NPI 1215975966


NPI Information

NPI: 1215975966
Provider Name: JCL SURGERY, LLC

Doing Business As: NORTH VALLEY SURGERY

Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
3201 W PEORIA AVE
SUITE C500
PHOENIX, AZ
ZIP 85029
Phone: (602) 298-6516
Get Directions

JCL SURGERY, LLC is a trauma surgery surgery in Phoenix, AZ. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. JCL SURGERY, LLC NPI is 1215975966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Valley Surgery.

The provider's business location address is:

3201 W PEORIA AVE
SUITE C500
PHOENIX, AZ
ZIP 85029-608
Phone: (602) 298-6516
Fax: (602) 298-2347

The provider's authorized official is Gary R Grover .
The authorized official title is Sr. Vice President and has the following contact phone number (602) 216-6687.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 11/29/2007.


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
12086S0127XSurgeryTrauma SurgeryYes

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
1F36857MEDICARE UPIN
2882143MEDICARE ID-TYPE UNSPECIFIEDARIZONACHRIS SALVINO MD
3109125MEDICARE ID-TYPE UNSPECIFIEDKUMASH PATEL MD
4093479MEDICAIDARIZONA
5Z108488MEDICARE PINARIZONA
6I37532MEDICARE UPIN
7108562MEDICARE ID-TYPE UNSPECIFIEDCHRIS SALVINO MD

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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