PHOENIX SPINE GOODYEAR ASC, LLC
NPI 1871667014
Neurological Surgery in Goodyear, AZ

Active since November 20, 2006CLIA 03D2002603 · Waiver
140 N LITCHFIELD RD, SUITE 110, GOODYEAR, AZ 85338(602) 256-2525(602) 256-0795 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Aug 12, 2020, Aug 26, 2016 (3 updates tracked since 2016).

About Phoenix Spine Goodyear Asc, Llc NPPES

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

PHOENIX SPINE GOODYEAR ASC, LLC (NPI 1871667014) is a healthcare organization registered as a neurological surgery in Goodyear, Arizona and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Eric Boon, Ao, as its authorized official.

NPPES Registry Identity

NPI1871667014
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePHOENIX SPINE GOODYEAR ASC, LLC
Location Address140 N LITCHFIELD RD, SUITE 110Goodyear, AZ 85338-1277
Mailing Address140 N Litchfield Rd Ste 110Goodyear, AZ 85338-1226 · (602) 256-2525 · Fax (602) 256-0795
Fax(602) 256-0795
Organization SubpartNo
Authorized OfficialEric BoonAo · (480) 567-0269
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1871667014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in AZ · 28519
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 35838 (AZ)
140 N LITCHFIELD RD, Goodyear, AZ 85338

Other Names 1

Doing Business AsPhoenix Spine Goodyear Asc, Llc

Other Identifiers 1

Medicaid987125AZ

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2002603

Phoenix Spine Goodyear ASC, LLC · Goodyear, AZ
Active · expires Jan 20, 2028
CLIA Number03D2002603
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorRichard K. Bassett
Laboratory Phone(402) 709-3827
Laboratory LocationPhoenix Spine Goodyear ASC, LLC140 N Litchfield Rd Ste 110, Goodyear, AZ 85338
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
140 N LITCHFIELD RD
GOODYEAR, AZ 85338
Neurological Surgery
140 N LITCHFIELD RD, SUITE 110
GOODYEAR, AZ 85338
Nurse Practitioner (Family)
140 N LITCHFIELD RD
GOODYEAR, AZ 85338
Nurse Practitioner (Pediatrics)
140 N LITCHFIELD RD
GOODYEAR, AZ 85338

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 Phoenix Spine Goodyear ASC, LLC's NPI number?

The NPI number for Phoenix Spine Goodyear ASC, LLC is 1871667014. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Phoenix Spine Goodyear ASC, LLC located?

Phoenix Spine Goodyear ASC, LLC is located at 140 N Litchfield Rd Suite 110, Goodyear, AZ 85338. The listed phone number is (602) 256-2525.

What is Phoenix Spine Goodyear ASC, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Phoenix Spine Goodyear ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2002603) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Spine Goodyear ASC, LLC accept?

Health plans from UnitedHealthcare list Phoenix Spine Goodyear ASC, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Spine Goodyear ASC, LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.