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SURGICALIST OF AZ PLLC NPI 1881196335


NPI Information

NPI: 1881196335
Provider Name: SURGICALIST OF AZ PLLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
13555 W MCDOWELL RD STE 204
GOODYEAR, AZ
ZIP 85395
Phone: (623) 512-4326
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SURGICALIST OF AZ PLLC is a trauma surgery surgery in Goodyear, 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. SURGICALIST OF AZ PLLC NPI is 1881196335. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13555 W MCDOWELL RD STE 204
GOODYEAR, AZ
ZIP 85395-626
Phone: (623) 512-4326

The provider's authorized official is Mit Desai .
The authorized official title is Ceo and has the following contact phone number (813) 530-5043.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 9/29/2023.


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
1208600000XSurgeryNo
22086S0129XSurgeryVascular SurgeryNo
32086S0127XSurgeryTrauma SurgeryYes

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

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.