1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Surgery
  6. NPI Profile

ARIZONA CHILDRENS SURGERY PC
NPI 1104818822
Surgery - Pediatric Surgery in Mesa, AZ

Active since August 18, 2005
1432 S DOBSON RD, STE 301, MESA, AZ 85202(480) 464-9400(480) 464-9401 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona Childrens Surgery Pc NPPES

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

ARIZONA CHILDRENS SURGERY PC (NPI 1104818822), doing business as East Valley Pediatric Surgery, is a healthcare organization registered as a pediatric surgery in Mesa, Arizona and active in the NPI registry since August 2005. The organization lists Enrique Ricardo Grisoni, Director, as its authorized official.

NPPES Registry Identity

NPI1104818822
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameARIZONA CHILDRENS SURGERY PC
Location Address1432 S DOBSON RD, STE 301Mesa, AZ 85202-4768
Mailing AddressPo Box 41090Mesa, AZ 85274-1090 · (480) 464-9400 · Fax (480) 464-9401
Phone(480) 464-9400
Fax(480) 464-9401
Organization SubpartNo
Authorized OfficialEnrique Ricardo GrisoniDirector · (480) 512-6514
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 18, 2007
✔ NPI 1104818822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in AZ · 28876
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1432 S DOBSON RD, Mesa, AZ 85202
Open in Google Maps ↗

Other Names 1

Former Legal Business NameEast Valley Pediatric Surgery

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.

DR. WAYNE TRUONG MD, PHD, FRCSC
Surgery (Pediatric Surgery)
1432 S DOBSON RD, SUITE 301
MESA, AZ 85202
Maricopa County (480) 412-9400
ASHLEY SPRUYT PA-C
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 301
MESA, AZ 85202
Maricopa County (480) 412-9400
DANIELA G PAL PA-C
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Maricopa County (480) 962-0071
AMY JONES DPT
Clinic/Center (Physical Therapy)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Maricopa County (480) 962-0071
MRS. KRISTINE LEE RUTT PNP
Nurse Practitioner (Pediatrics)
1432 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 689-8685
DR. JOEL BRAUN M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
1432 S DOBSON RD, SUITE 201
MESA, AZ 85202
Maricopa County (480) 962-0071
MS. ERICA E. SEZATE PA-C
Physician Assistant (Surgical)
1432 S DOBSON RD, SUITE 304
MESA, AZ 85202
Maricopa County (480) 412-7400
DR. DEEPA PRASAD MD
Pediatrics (Pediatric Cardiology)
1432 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-6336

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 Arizona Childrens Surgery PC's NPI number?

The NPI number for Arizona Childrens Surgery PC is 1104818822. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider was formerly known as East Valley Pediatric Surgery.

Where is Arizona Childrens Surgery PC located?

Arizona Childrens Surgery PC is located at 1432 S Dobson Rd Ste 301, Mesa, AZ 85202. The listed phone number is (480) 464-9400.

What is Arizona Childrens Surgery PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Arizona Childrens Surgery PC was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.