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EXCEPTIONAL SURGICAL PROVIDERS LLC
NPI 1215504998
Specialist/Technologist, Other - Surgical Assistant in Phoenix, AZ

Active since June 09, 2021
7600 N 15TH ST STE 290, PHOENIX, AZ 85020(602) 395-0718(602) 277-8146 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 7, 2021, Jun 9, 2021 (2 updates tracked since 2021).

About Exceptional Surgical Providers Llc NPPES

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

EXCEPTIONAL SURGICAL PROVIDERS LLC (NPI 1215504998) is a healthcare organization registered as a surgical assistant in Phoenix, Arizona and active in the NPI registry since June 2021. The organization lists Vanessa Koziol, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215504998
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameEXCEPTIONAL SURGICAL PROVIDERS LLC
Location Address7600 N 15TH ST STE 290Phoenix, AZ 85020-4336
Mailing Address8989 N Gainey Center Dr Unit 145Scottsdale, AZ 85258-2114
Phone(602) 395-0718
Fax(602) 277-8146
Organization SubpartNo
Authorized OfficialVanessa KoziolCredentialing Specialist · (602) 395-0718
Enumeration DateJune 9, 2021
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1215504998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
7600 N 15TH ST STE 290, Phoenix, AZ 85020
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Other Identifiers 1

MedicaidPENDAZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

SHAD MISSELDINE, INC.
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 312-0855
COMPREHENSIVE ANESTHESIA SERVICES, PLLC
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 395-0718
SHAD MISSELDINE M.D.
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 312-0855
WILLIAM CRAIG SCIBETTA MD
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 234-1803
RYAN T SHANNON MD PLLC
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 395-0718
M L ROPER MD PLLC
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (023) 950-7186
MELISSA LEONARD PA-C SURGICAL ASSIST
Physician Assistant (Surgical)
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 395-0718
COPPER STAR ANESTHESIA, LLC
Anesthesiology
7600 N 15TH ST STE 290
PHOENIX, AZ 85020
Maricopa County (602) 395-0718

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 Exceptional Surgical Providers LLC's NPI number?

The NPI number for Exceptional Surgical Providers LLC is 1215504998. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Exceptional Surgical Providers LLC located?

Exceptional Surgical Providers LLC is located at 7600 N 15th St Ste 290, Phoenix, AZ 85020. The listed phone number is (602) 395-0718.

What is Exceptional Surgical Providers LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Exceptional Surgical Providers LLC was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.