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ADVANCED MINIMALLY INVASIVE SURGICAL
NPI 1558119602
Surgery - Vascular Surgery in Prescott, AZ

Active since May 13, 2024
412 WHIPPLE ST, PRESCOTT, AZ 86301(480) 788-5621(480) 779-1277 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Minimally Invasive Surgical NPPES

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

ADVANCED MINIMALLY INVASIVE SURGICAL (NPI 1558119602) is a healthcare organization registered as a vascular surgery in Prescott, Arizona and active in the NPI registry since May 2024. The organization lists Kiup Alexander Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1558119602
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameADVANCED MINIMALLY INVASIVE SURGICAL
Location Address412 WHIPPLE STPrescott, AZ 86301-1712
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 SubpartYes
Authorized OfficialKiup Alexander KimOwner · (480) 323-6072
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1558119602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
412 WHIPPLE ST, Prescott, AZ 86301
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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 6

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

KOKOPELLI EYE CARE PC
Clinic/Center (Ambulatory Surgical)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (928) 771-9000
TKC HOLDINGS LLC
Taxi
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (928) 771-9365
DIABETES NEUROPATHY CENTER
Family Medicine (Adult Medicine)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
JOSEPH MICHAEL KRUPA DPM
Podiatrist (Foot & Ankle Surgery)
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
BMI423I
Family Medicine
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (480) 788-5621
KOKOPELLI EYE CARE PC
Durable Medical Equipment & Medical Supplies
412 WHIPPLE ST
PRESCOTT, AZ 86301
Yavapai County (928) 771-9000

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 1558119602. It was assigned to this organization in the NPPES registry on May 13, 2024.

Where is Advanced Minimally Invasive Surgical located?

Advanced Minimally Invasive Surgical is located at 412 Whipple St, Prescott, AZ 86301. 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, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Advanced Minimally Invasive Surgical was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.