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PEORIA STADIUM CREEK ASC LLC
NPI 1134053085
Clinic/Center - Ambulatory Surgical in Peoria, AZ

Active since June 08, 2026
15000 N 83RD AVE, SUITE 105, PEORIA, AZ 85381(623) 266-1919(623) 321-9948 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peoria Stadium Creek Asc Llc NPPES

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

PEORIA STADIUM CREEK ASC LLC (NPI 1134053085), doing business as Peoria Stadium Creek Surgery Ctr, is a healthcare organization registered as an ambulatory surgical in Peoria, Arizona and active in the NPI registry since June 2026. The organization lists Jay Mckim, Evp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1134053085
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePEORIA STADIUM CREEK ASC LLC
Location Address15000 N 83RD AVE, SUITE 105Peoria, AZ 85381-2001
Mailing Address15000 N 83rd Ave, Suite 105Peoria, AZ 85381-2001 · (623) 266-1919 · Fax (623) 321-9948
Phone(623) 266-1919
Fax(623) 321-9948
Organization SubpartNo
Authorized OfficialJay MckimEvp Chief Financial Officer · (949) 680-3443
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1134053085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
15000 N 83RD AVE, SUITE 105, Peoria, AZ 85381
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Other Names 1

Doing Business AsPeoria Stadium Creek Surgery Ctr

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 Peoria Stadium Creek ASC LLC's NPI number?

The NPI number for Peoria Stadium Creek ASC LLC is 1134053085. It was assigned to this organization in the NPPES registry on June 8, 2026. The provider is doing business as Peoria Stadium Creek Surgery Ctr.

Where is Peoria Stadium Creek ASC LLC located?

Peoria Stadium Creek ASC LLC is located at 15000 N 83rd Ave, Suite 105, Peoria, AZ 85381. The listed phone number is (623) 266-1919.

What is Peoria Stadium Creek ASC 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 Peoria Stadium Creek ASC LLC was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.