PHOENIX ORTHOPAEDIC AMBULATORY CENTER LLC NPI 1336131143

NPI Information

  • NPI: 1336131143
  • Provider Name: PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: GATEWAY SURGERY CENTER
  • CLIA Number: 03D1003086
  • Address: 690 N COFCO CENTER CT
    SUITE 150
    PHOENIX, AZ
    ZIP 85008
  • Phone: (602) 288-4441

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NPI Details

PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC is an ambulatory surgical clinic center in Phoenix, AZ. PHOENIX ORTHOPAEDIC AMBULATORY CENTER, LLC NPI is 1336131143. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Surgery Center.

The provider's business location address is:

690 N COFCO CENTER CT
SUITE 150
PHOENIX, AZ
ZIP 85008-462
Phone: (602) 288-4441
Fax: (602) 288-4480

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 03D1003086 - 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.

  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Removal of deep implant from bone (HCPCS:20680)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
  • Incision or the tendon covering on the top side of the wrist (HCPCS:25000)
  • Fusion of finger joint, initial joint (HCPCS:26860)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Limited removal of abnormal shoulder joint tissue using endoscope (HCPCS:29822)
  • Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25608)

The enumeration date for this NPI number is 8/17/2005 and was last updated on 4/27/2021.

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 SurgicalOSC3177ARIZONAYes

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
1AZ0208190OTHERARIZONABCBS OF ARIZONA

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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