EMPRISE SURGICAL ASSOCIATE PLLC
NPI 1144364795
Physician Assistant - Surgical in Scottsdale, AZ

Active since February 16, 2007
7846 E VISTA BONITA DR, SCOTTSDALE, AZ 85255(480) 860-1045(480) 664-8889 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emprise Surgical Associate Pllc NPPES

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

EMPRISE SURGICAL ASSOCIATE PLLC (NPI 1144364795) is a healthcare organization registered as a surgical in Scottsdale, Arizona and active in the NPI registry since February 2007. The organization lists Samuel David Mcreynolds, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1144364795
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameEMPRISE SURGICAL ASSOCIATE PLLC
Location Address7846 E VISTA BONITA DRScottsdale, AZ 85255-4123
Mailing Address7846 E Vista Bonita DrScottsdale, AZ 85255-4123 · (480) 860-1045 · Fax (480) 664-8889
Fax(480) 664-8889
Organization SubpartNo
Authorized OfficialSamuel David McreynoldsPhysician Assistant · (480) 860-1045
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 28, 2016
NPI 1144364795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 1480
7846 E VISTA BONITA DR, Scottsdale, AZ 85255

Other Identifiers 3

Medicaid881062AZ
Medicare ID-Type Unspecified100810AZ
Medicare UPINR11743AZ

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

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 Emprise Surgical Associate PLLC's NPI number?

The NPI number for Emprise Surgical Associate PLLC is 1144364795. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Emprise Surgical Associate PLLC located?

Emprise Surgical Associate PLLC is located at 7846 E Vista Bonita Dr, Scottsdale, AZ 85255. The listed phone number is (480) 860-1045.

What is Emprise Surgical Associate PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Emprise Surgical Associate PLLC was last updated on March 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.