MARICOPA SURGICAL ASSIST
NPI 1265031108
Physician Assistant - Surgical in Phoenix, AZ
NPI Status: Active since October 21, 2020
Contact Information
19829 N 27TH AVE
PHOENIX, AZ
ZIP 85027
Phone: (623) 879-6100
- Organization
- Physician Assistant
- Surgical
- CLIA Number: 03D2318620
- CLIA Cert. Type: Other - MARICOPA REENTRY CENTER
- CLIA Exp. Date: 02-13-2027
About MARICOPA SURGICAL ASSIST
This page provides the complete NPI Profile along with additional information for Maricopa Surgical Assist, a provider established in Phoenix, Arizona operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1265031108 assigned on October 2020. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Matthew Craig Lewis Csa (Surgical First Assist)
- NPI
- 1265031108
- Provider Name
- MARICOPA SURGICAL ASSIST
- Entity Type
- Organization
- Location Address
- 19829 N 27TH AVE PHOENIX, AZ 85027
- Location Phone
- (623) 879-6100
- Mailing Address
- PO BOX 39179 PHOENIX, AZ 85069
- Mailing Phone
- (602) 395-0718
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-21-2020
- Last Update Date
- 10-21-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2318620
- Facility Type
- Other - MARICOPA REENTRY CENTER
- Certificate Effective Date
- February 14, 2025
- Certificate Expiration Date
- February 13, 2027
- Laboratory Director
- RANDY S. GELOW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Maricopa Surgical Assist to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265031108, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265031108, enumerated as an "organization" on October 21, 2020.
The provider is located at 19829 N 27TH AVE PHOENIX, AZ 85027 and the phone number is (623) 879-6100.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
