AZ RICHARDSON SURGICAL SERVICES, LLC
NPI 1679826051
Physician Assistant - Surgical in Scottsdale, AZ

Active since October 22, 2012
1776 N SCOTTSDALE RD UNIT 368, SCOTTSDALE, AZ 85252(480) 201-5264(480) 393-1970 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Az Richardson Surgical Services, Llc NPPES

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

AZ RICHARDSON SURGICAL SERVICES, LLC (NPI 1679826051) is a healthcare organization registered as a surgical in Scottsdale, Arizona and active in the NPI registry since October 2012. The organization maintains a secondary practice location in Mesa and lists Keri L Richardson, Member, as its authorized official.

NPPES Registry Identity

NPI1679826051
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameAZ RICHARDSON SURGICAL SERVICES, LLC
Location Address1776 N SCOTTSDALE RD UNIT 368Scottsdale, AZ 85252-3616
Mailing AddressPo Box 368Scottsdale, AZ 85252-0368 · (480) 201-5264 · Fax (480) 393-1970
Fax(480) 393-1970
Organization SubpartNo
Authorized OfficialKeri L RichardsonMember · (480) 586-0554
Enumeration DateOctober 22, 2012
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
NPI 1679826051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 2908
1776 N SCOTTSDALE RD UNIT 368, Scottsdale, AZ 85252

Secondary Practice Location 1

Location 16417 E Star Valley StMesa, AZ 85215-0891 · Phone (480) 586-0554

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 4

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

Physician Assistant (Surgical)
1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ 85252
Physician Assistant (Surgical)
1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ 85252
Physician Assistant (Surgical)
1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ 85252
Physician Assistant (Surgical)
1776 N SCOTTSDALE RD UNIT 368
SCOTTSDALE, AZ 85252

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 Az Richardson Surgical Services, LLC's NPI number?

The NPI number for Az Richardson Surgical Services, LLC is 1679826051. It was assigned to this organization in the NPPES registry on October 22, 2012.

Where is Az Richardson Surgical Services, LLC located?

Az Richardson Surgical Services, LLC is located at 1776 N Scottsdale Rd Unit 368, Scottsdale, AZ 85252. The listed phone number is (480) 201-5264.

What is Az Richardson Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Az Richardson Surgical Services, LLC was last updated on March 7, 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.