SURGICALIST OF AZ PLLC
NPI 1881196335
Surgery - Trauma Surgery in Goodyear, AZ

Active since March 01, 2018
13555 W MCDOWELL RD STE 204, GOODYEAR, AZ 85395(623) 512-4326 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Apr 10, 2020, Oct 3, 2019 and 1 more (4 updates tracked since 2018).

About Surgicalist Of Az Pllc NPPES

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

SURGICALIST OF AZ PLLC (NPI 1881196335) is a healthcare organization registered as a trauma surgery in Goodyear, Arizona and active in the NPI registry since March 2018. The organization lists Mit Desai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881196335
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameSURGICALIST OF AZ PLLC
Location Address13555 W MCDOWELL RD STE 204Goodyear, AZ 85395-2626
Mailing AddressPo Box 21647Tampa, FL 33622-1647 · (813) 530-5043 · Fax (813) 530-5043
Organization SubpartYesParent: The Surgicalist Group Pllc
Authorized OfficialMit DesaiCeo · (813) 530-5043
Enumeration DateMarch 1, 2018
Last NPPES UpdateSeptember 29, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
NPI 1881196335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
13555 W MCDOWELL RD STE 204, Goodyear, AZ 85395

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 2

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

Nurse Practitioner (Acute Care)
13555 W MCDOWELL RD STE 204
GOODYEAR, AZ 85395
Nurse Practitioner (Family)
13555 W MCDOWELL RD STE 204
GOODYEAR, AZ 85395

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 Surgicalist Of Az PLLC's NPI number?

The NPI number for Surgicalist Of Az PLLC is 1881196335. It was assigned to this organization in the NPPES registry on March 1, 2018.

Where is Surgicalist Of Az PLLC located?

Surgicalist Of Az PLLC is located at 13555 W Mcdowell Rd Ste 204, Goodyear, AZ 85395. The listed phone number is (623) 512-4326.

What is Surgicalist Of Az PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

When was this NPI record last updated?

The NPPES record for Surgicalist Of Az PLLC was last updated on September 29, 2023. 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.