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MOUNTAIN CREEK SURGICAL CONSULTANTS
NPI 1093832925
Surgery in Show Low, AZ

Active since March 24, 2007
5171 CUB LAKE RD, SUITE C390, SHOW LOW, AZ 85901(928) 532-5463(928) 532-8474 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Creek Surgical Consultants NPPES

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

MOUNTAIN CREEK SURGICAL CONSULTANTS (NPI 1093832925) is a healthcare organization registered as a surgery in Show Low, Arizona and active in the NPI registry since March 2007. The organization lists Jeffery Brandon Butte, President, as its authorized official.

NPPES Registry Identity

NPI1093832925
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMOUNTAIN CREEK SURGICAL CONSULTANTS
Location Address5171 CUB LAKE RD, SUITE C390Show Low, AZ 85901-7888
Mailing Address5171 Cub Lake Rd Ste C390Show Low, AZ 85901-7891 · (928) 532-5463 · Fax (928) 532-8474
Phone(928) 532-5463
Fax(928) 532-8474
Organization SubpartNo
Authorized OfficialJeffery Brandon ButtePresident · (928) 532-5463
Enumeration DateMarch 24, 2007
Last NPPES UpdateFebruary 24, 2009
✔ NPI 1093832925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 4351
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5171 CUB LAKE RD, Show Low, AZ 85901
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Other Identifiers 4

Medicare UPINH92073AZ
Medicaid072852AZ
Medicare ID-Type Unspecified109018AZ
OtherAZ0427710AZ · Bcbs Of Az

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ELIZABETH J FINAN PT
Physical Therapist
5171 CUB LAKE RD, SUITE C-360
SHOW LOW, AZ 85901
Navajo County (928) 537-0248
NORTHERN ARIZONA HEART CENTER
Internal Medicine (Interventional Cardiology)
5171 CUB LAKE RD, SUITE C350
SHOW LOW, AZ 85901
Navajo County (928) 532-1970
BLUE HORIZONS WOMENS HEALTH PLC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5171 CUB LAKE RD, SUITE B-210
SHOW LOW, AZ 85901
Navajo County (928) 537-9844
KATHY A DALEY PT
Physical Therapist
5171 CUB LAKE RD, SUITE C 360
SHOW LOW, AZ 85901
Navajo County (928) 537-0248
STEVEN B. CHINTIS, D.O., PC
Internal Medicine
5171 CUB LAKE RD, SUITE C380
SHOW LOW, AZ 85901
Navajo County (928) 537-1077
SAM HOCHANE M.D.
Psychiatry & Neurology (Neurology)
5171 CUB LAKE RD, BLDG C SUITE 340
SHOW LOW, AZ 85901
Navajo County (928) 532-2242
SUMMIT SURGICAL CONSULTANTS PC
Surgery
5171 CUB LAKE RD, SUITE 390
SHOW LOW, AZ 85901
Navajo County (928) 532-5463
PETER NIEMCZYK MD
Urology
5171 CUB LAKE RD, BLDG C STE 340
SHOW LOW, AZ 85901
Navajo County (928) 537-0111

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 Mountain Creek Surgical Consultants's NPI number?

The NPI number for Mountain Creek Surgical Consultants is 1093832925. It was assigned to this organization in the NPPES registry on March 24, 2007.

Where is Mountain Creek Surgical Consultants located?

Mountain Creek Surgical Consultants is located at 5171 Cub Lake Rd Suite C390, Show Low, AZ 85901. The listed phone number is (928) 532-5463.

What is Mountain Creek Surgical Consultants's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mountain Creek Surgical Consultants was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.