R DEROSA SURGERY LLC
NPI 1871209494
Surgery in Glendale, AZ

Q: What is R Derosa Surgery LLC's NPI number?

The NPI number for R Derosa Surgery LLC is 1871209494. It was assigned to this organization in the NPPES registry on January 26, 2023.

Q: What is R Derosa Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 26, 2023

18701 N 67TH AVE, GLENDALE, AZ 85308(623) 561-1000 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About R Derosa Surgery Llc NPPES

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

R DEROSA SURGERY LLC (NPI 1871209494) is a healthcare organization registered as a surgery in Glendale, Arizona and active in the NPI registry since January 2023. The organization lists Richard Derosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1871209494

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameR DEROSA SURGERY LLC

Location Address18701 N 67TH AVEGlendale, AZ 85308-7100

Mailing Address6225 E Dusty Coyote CirScottsdale, AZ 85266-7201 · (703) 975-9847

Phone(623) 561-1000

Organization SubpartNo

Authorized OfficialRichard DerosaOwner · (703) 975-9847

Enumeration DateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1871209494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

18701 N 67TH AVE, Glendale, AZ 85308

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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

Other Providers at the Same Location NPPES 20

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

DR. KENNETH VEIGA DO

Internal Medicine