SURGCENTER NORTHERN PHOENIX LLC NPI 1265009005

NPI Information

  • NPI: 1265009005
  • Provider Name: SURGCENTER NORTHERN PHOENIX LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 03D2228048
  • Address: 2611 W CAREFREE HWY BLDG E
    PHOENIX, AZ
    ZIP 85085
  • Phone: (143) 575-7889

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NPI Details

SURGCENTER NORTHERN PHOENIX LLC is an ambulatory surgical clinic center in Phoenix, AZ. SURGCENTER NORTHERN PHOENIX LLC NPI is 1265009005. The provider is registered as an organization entity type.

The provider's business location address is:

2611 W CAREFREE HWY BLDG E
PHOENIX, AZ
ZIP 85085-862
Phone: (143) 575-7889

The provider's authorized official is Keven Burns .
The authorized official title is Ceo and has the following contact phone number (480) 747-1321.

The CLIA number assigned to this NPI record is 03D2228048 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)

The enumeration date for this NPI number is 6/9/2021 and was last updated on 2/5/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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