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WHITE MOUNTAIN SURGICAL SPECIALISTS PC
NPI 1164487922
Clinic/Center - Ambulatory Surgical in Show Low, AZ

Active since April 17, 2006
2650 E SHOW LOW LAKE RD, SUITE 2, SHOW LOW, AZ 85901(928) 537-4240(928) 537-4541 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About White Mountain Surgical Specialists Pc NPPES

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

WHITE MOUNTAIN SURGICAL SPECIALISTS PC (NPI 1164487922) is a healthcare organization registered as an ambulatory surgical in Show Low, Arizona and active in the NPI registry since April 2006. The organization lists William J. Waldo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164487922
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWHITE MOUNTAIN SURGICAL SPECIALISTS PC
Location Address2650 E SHOW LOW LAKE RD, SUITE 2Show Low, AZ 85901-7955
Mailing Address2650 E Show Low Lake Rd, Suite 2Show Low, AZ 85901-7955 · (928) 537-4240 · Fax (928) 537-4541
Phone(928) 537-4240
Fax(928) 537-4541
Organization SubpartNo
Authorized OfficialWilliam J. WaldoAdministrator · (928) 537-4240
Enumeration DateApril 17, 2006
Last NPPES UpdateApril 19, 2012
✔ NPI 1164487922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in AZ · OSC0061
2650 E SHOW LOW LAKE RD, Show Low, AZ 85901
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZ3C0001079AZ

Other Providers at the Same Location NPPES 14

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

TERILYN HUMPHREY BRASHER ATC
Physician Assistant
2650 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
ARIZONA HEART INSTITUTE SHOW LOW
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2650 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Navajo County (602) 266-2200
EMIL PALENSAR PT
Physical Therapist
2650 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Navajo County (928) 537-8196
SOUTHWESTERN EYE CENTER
Clinic/Center (Ambulatory Surgical)
2650 E SHOW LOW LAKE RD, SUITE 2
SHOW LOW, AZ 85901
Navajo County (928) 537-4240
WHITE MOUNTAIN SURGICAL SPECIALISTS PC
Orthopaedic Surgery
2650 E SHOW LOW LAKE RD, SUITE 2
SHOW LOW, AZ 85901
Navajo County (928) 537-4240
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2650 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Navajo County (520) 670-3909
WILLIAM J WALDO MD
Surgery
2650 E SHOW LOW LAKE RD, SUITE 2
SHOW LOW, AZ 85901
Navajo County (928) 537-4240
AMANDA JARLES OT
Occupational Therapist
2650 E SHOW LOW LAKE RD, STE 3
SHOW LOW, AZ 85901
Navajo County (928) 537-8196

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 White Mountain Surgical Specialists PC's NPI number?

The NPI number for White Mountain Surgical Specialists PC is 1164487922. It was assigned to this organization in the NPPES registry on April 17, 2006.

Where is White Mountain Surgical Specialists PC located?

White Mountain Surgical Specialists PC is located at 2650 E Show Low Lake Rd Suite 2, Show Low, AZ 85901. The listed phone number is (928) 537-4240.

What is White Mountain Surgical Specialists PC'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 White Mountain Surgical Specialists PC was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.