1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Surgery
  6. NPI Profile

ADVANCED MINIMALLY INVASIVE SURGICAL
NPI 1295056919
Surgery in Phoenix, AZ

Active since June 16, 2010
202 E EARLL DR STE 360, PHOENIX, AZ 85012(480) 788-5621(480) 779-1277 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Sep 22, 2021, Jul 28, 2021 and 3 more (6 updates tracked since 2019).

About Advanced Minimally Invasive Surgical NPPES

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

ADVANCED MINIMALLY INVASIVE SURGICAL (NPI 1295056919) is a healthcare organization registered as a surgery in Phoenix, Arizona and active in the NPI registry since June 2010. The organization maintains 6 additional practice locations and lists Kiup Alex Kim, Manager, as its authorized official.

NPPES Registry Identity

NPI1295056919
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameADVANCED MINIMALLY INVASIVE SURGICAL
Location Address202 E EARLL DR STE 360Phoenix, AZ 85012-2677
Mailing Address202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · (480) 788-5621 · Fax (480) 779-1277
Phone(480) 788-5621
Fax(480) 779-1277
Organization SubpartNo
Authorized OfficialKiup Alex KimManager · (480) 299-7654
Enumeration DateJune 16, 2010
Last NPPES UpdateOctober 18, 20226 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1295056919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
202 E EARLL DR STE 360, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12737 W Baseline Rd Ste 27Tempe, AZ 85283-1051 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 2333 N Dobson RdChandler, AZ 85224-4412 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 35060 N 19th Ave Ste 106Phoenix, AZ 85015-3211 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 4202 E Earll Dr Ste 360Phoenix, AZ 85012-2677 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 51455 W Chandler Blvd Ste B11Chandler, AZ 85224-6128 · Phone (480) 788-5621 · Fax (480) 779-1277
Location 65060 N 19th Ave Ste 207Phoenix, AZ 85015-3212 · Phone (480) 788-5621 · Fax (480) 779-1277

Other Identifiers 4

Medicaid501341AZ
OtherZ139139AZ · Ptan
OtherP00924643Rr Ptan
OtherZ139140Medicare Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 8

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

KENDRA ANN SCOTT DPT
Physical Therapist
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
JAVIER OMAR YEPIZ PA
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
QUANIKA SHUNTAAYE SIMPSON-JACKSON MD
Emergency Medicine (Emergency Medical Services)
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 698-8261
REFLECTION HEALTH SERVICES L.L.C.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 698-8261
MR. JORDAN SCHENK PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
MS. LAURA ELIZABETH FOX PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 264-4431
KIUP ALEXANDER KIM MD, RPVI
Surgery (Vascular Surgery)
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
SOB523T
Family Medicine
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621

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 Advanced Minimally Invasive Surgical's NPI number?

The NPI number for Advanced Minimally Invasive Surgical is 1295056919. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Advanced Minimally Invasive Surgical located?

Advanced Minimally Invasive Surgical is located at 202 E Earll Dr Ste 360, Phoenix, AZ 85012. The listed phone number is (480) 788-5621.

What is Advanced Minimally Invasive Surgical's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Advanced Minimally Invasive Surgical accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Minimally Invasive Surgical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Minimally Invasive Surgical was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.