RENOVATION SURGICAL ASSISTS, LLC
NPI 1770242802
Specialist/Technologist, Other - Surgical Assistant in Scottsdale, AZ

Active since December 16, 2021
10290 N 92ND ST STE 200, SCOTTSDALE, AZ 85258(602) 767-4732(602) 351-5660 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renovation Surgical Assists, Llc NPPES

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

RENOVATION SURGICAL ASSISTS, LLC (NPI 1770242802) is a healthcare organization registered as a surgical assistant in Scottsdale, Arizona and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Scottsdale and lists Vanessa Koziol, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1770242802
Entity TypeOrganization
Primary Taxonomy246ZC0007X
Legal Business NameRENOVATION SURGICAL ASSISTS, LLC
Location Address10290 N 92ND ST STE 200Scottsdale, AZ 85258-4528
Mailing Address4340 E Indian School Rd # 270Phoenix, AZ 85018-5360 · (602) 767-4732 · Fax (602) 351-5660
Fax(602) 351-5660
Organization SubpartNo
Authorized OfficialVanessa KoziolCredentialing · (480) 376-6456
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1770242802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
10290 N 92ND ST STE 200, Scottsdale, AZ 85258

Secondary Practice Location 1

Location 120401 N 73rd St Ste 155Scottsdale, AZ 85255-4149 · Phone (602) 767-4732 · Fax (602) 351-5660

Other Identifiers 1

MedicaidPENDINGAZ

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 5

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

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
10290 N 92ND ST STE 200
SCOTTSDALE, AZ 85258
Orthopaedic Surgery
10290 N 92ND ST STE 200
SCOTTSDALE, AZ 85258
Nurse Practitioner (Family)
10290 N 92ND ST STE 200
SCOTTSDALE, AZ 85258
Surgery
10290 N 92ND ST STE 200
SCOTTSDALE, AZ 85258
Physician Assistant
10290 N 92ND ST STE 200
SCOTTSDALE, AZ 85258

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 Renovation Surgical Assists, LLC's NPI number?

The NPI number for Renovation Surgical Assists, LLC is 1770242802. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Renovation Surgical Assists, LLC located?

Renovation Surgical Assists, LLC is located at 10290 N 92nd St Ste 200, Scottsdale, AZ 85258. The listed phone number is (602) 767-4732.

What is Renovation Surgical Assists, LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Renovation Surgical Assists, LLC was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.