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

ARIZONA SURGEONS ASSISTANT PC
NPI 1720305535
Physician Assistant - Surgical in Phoenix, AZ

Active since May 03, 2010
4369 E HARTFORD AVE, PHOENIX, AZ 85032(602) 568-7294(602) 867-4992 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona Surgeons Assistant Pc NPPES

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

ARIZONA SURGEONS ASSISTANT PC (NPI 1720305535) is a healthcare organization registered as a surgical in Phoenix, Arizona and active in the NPI registry since May 2010. The organization lists Haitham M Hanna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720305535
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameARIZONA SURGEONS ASSISTANT PC
Location Address4369 E HARTFORD AVEPhoenix, AZ 85032-2298
Mailing Address4369 E Hartford AvePhoenix, AZ 85032-2298 · (602) 568-7294 · Fax (602) 867-4992
Phone(602) 568-7294
Fax(602) 867-4992
Organization SubpartNo
Authorized OfficialHaitham M HannaCeo · (602) 568-7294
Enumeration DateMay 3, 2010
Last NPPES UpdateMarch 7, 2023
✔ NPI 1720305535 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 · 1013800
4369 E HARTFORD AVE, Phoenix, AZ 85032
Open in Google Maps ↗

Other Identifiers 2

Other1922AZ · Az Medical Board
OtherZ138269AZ · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Arizona Surgeons Assistant PC's NPI number?

The NPI number for Arizona Surgeons Assistant PC is 1720305535. It was assigned to this organization in the NPPES registry on May 3, 2010.

Where is Arizona Surgeons Assistant PC located?

Arizona Surgeons Assistant PC is located at 4369 E Hartford Ave, Phoenix, AZ 85032. The listed phone number is (602) 568-7294.

What is Arizona Surgeons Assistant PC'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 Arizona Surgeons Assistant PC was last updated on March 7, 2023. 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.