DOCTORS SURGERY CENTER OF KINGMAN, LLC
NPI 1407819857
Clinic/Center - Ambulatory Surgical in Kingman, AZ

Active since April 07, 2006
1740 SYCAMORE AVE, KINGMAN, AZ 86409(928) 681-4214(928) 681-4226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Doctors Surgery Center Of Kingman, Llc NPPES

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

DOCTORS SURGERY CENTER OF KINGMAN, LLC (NPI 1407819857) is a healthcare organization registered as an ambulatory surgical in Kingman, Arizona and active in the NPI registry since April 2006. The organization lists Myron E Machula, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1407819857
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDOCTORS SURGERY CENTER OF KINGMAN, LLC
Location Address1740 SYCAMORE AVEKingman, AZ 86409-0927
Mailing Address1740 Sycamore AvenueKingman, AZ 86409 · (928) 681-4214 · Fax (928) 681-4226
Fax(928) 681-4226
Organization SubpartNo
Authorized OfficialMyron E MachulaExecutive Administrator · (928) 681-4214
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1407819857 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 · OSC 2913
1740 SYCAMORE AVE, Kingman, AZ 86409

Other Identifiers 2

Medicaid629420AZ
OtherAZ0207340AZ · Bcbsaz

Other Providers at the Same Location NPPES 3

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

Nurse Anesthetist, Certified Registered
1740 SYCAMORE AVE
KINGMAN, AZ 86409
Speech-Language Pathologist
1740 SYCAMORE AVE, SUITE A
KINGMAN, AZ 86409
Pathology (Anatomic Pathology)
1740 SYCAMORE AVE, STE. C
KINGMAN, AZ 86409

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 Doctors Surgery Center Of Kingman, LLC's NPI number?

The NPI number for Doctors Surgery Center Of Kingman, LLC is 1407819857. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Doctors Surgery Center Of Kingman, LLC located?

Doctors Surgery Center Of Kingman, LLC is located at 1740 Sycamore Ave, Kingman, AZ 86409. The listed phone number is (928) 681-4214.

What is Doctors Surgery Center Of Kingman, LLC'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 Doctors Surgery Center Of Kingman, LLC was last updated on August 22, 2020. 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.