SOUTH MOUNTAIN SURGERY CENTER, LLC
NPI 1073089215
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Q: What is South Mountain Surgery Center, LLC's NPI number?

The NPI number for South Mountain Surgery Center, LLC is 1073089215. It was assigned to this organization in the NPPES registry on October 15, 2018.

Q: What is South Mountain Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 15, 2018

15810 S 45TH ST STE 150, PHOENIX, AZ 85048(480) 747-6240(480) 747-6238 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2019, Oct 15, 2018 (2 updates tracked since 2018).

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About South Mountain Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH MOUNTAIN SURGERY CENTER, LLC (NPI 1073089215) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since October 2018. The organization lists Mike Burrola, General Manager, as its authorized official.

NPPES Registry Identity

NPI1073089215

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTH MOUNTAIN SURGERY CENTER, LLC

Location Address15810 S 45TH ST STE 150Phoenix, AZ 85048-7655

Mailing Address15810 S 45th St Ste 150Phoenix, AZ 85048-7655 · (480) 747-6240 · Fax (480) 747-6238

Phone(480) 747-6240

Fax(480) 747-6238

Organization SubpartNo

Authorized OfficialMike BurrolaGeneral Manager · (623) 302-0850

Enumeration DateOctober 15, 2018

Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration

✔ NPI 1073089215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

15810 S 45TH ST STE 150, Phoenix, AZ 85048

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MURRAY S PRATT O.D.

Optometrist

15810 S 45TH ST STE 150
PHOENIX, AZ 85048

Maricopa County (480) 706-3060

DR. ANTHONY KASH SULLENGER O.D.

Optometrist

15810 S 45TH ST STE 150
PHOENIX, AZ 85048

Maricopa County (480) 706-3060

AHWATUKEE SURGERY CENTER, PC

Clinic/Center (Ambulatory Surgical)

15810 S 45TH ST STE 150
PHOENIX, AZ 85048

Maricopa County (480) 759-1554

PRATT VISION, LLC

Optometrist

15810 S 45TH ST STE 150
PHOENIX, AZ 85048

Maricopa County (480) 706-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Mountain Surgery Center, LLC's NPI number?

The NPI number for South Mountain Surgery Center, LLC is 1073089215. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is South Mountain Surgery Center, LLC located?

South Mountain Surgery Center, LLC is located at 15810 S 45th St Ste 150, Phoenix, AZ 85048. The listed phone number is (480) 747-6240.

What is South Mountain Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for South Mountain Surgery Center, LLC was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.