- Practice location
- 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677
- Phone
- 480-788-5621
- Fax
- 480-779-1277
- Last updated
- October 18, 2022
Advanced Minimally Invasive Surgical is a healthcare organization based in Phoenix, AZ. The NPI number for Advanced Minimally Invasive Surgical is 1295056919. The current practice location address is 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 and the office can be reached by phone at 480-788-5621 and by fax at 480-779-1277. The NPI was assigned on June 16, 2010 and the record was last updated in NPPES on October 18, 2022.
●Provider Profile Details
- NPI Number
- 1295056919
- Provider Name
- Advanced Minimally Invasive Surgical
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Kiup Alex Kim, MD · Manager · 480-299-7654
- Enumeration Date
- June 16, 2010
- Last Update Date
- October 18, 2022
- Certification Date
- October 18, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677 - City
- Phoenix
- State
- Arizona
- ZIP
- 85012-2677
- Country
- US
- Phone Number
- 480-788-5621
- Fax Number
- 480-779-1277
✉Business Mailing Address
- Address
- 202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677 - City
- Phoenix
- State
- AZ
- ZIP
- 85012-2677
- Phone Number
- 480-788-5621
- Fax Number
- 480-779-1277
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine 193200000X - Multi-Specialty Group | 207Q00000X | No | — | — |
| Family Medicine, Adult Medicine 193200000X - Multi-Specialty Group | 207QA0505X | No | — | — |
| Family Medicine, Bariatric Medicine 193200000X - Multi-Specialty Group | 207QB0002X | No | — | — |
| Community/Behavioral Health | 251S00000X | No | — | — |
| Surgery 193200000X - Multi-Specialty Group | 208600000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Advanced Minimally Invasive Surgical?
The NPI number of Advanced Minimally Invasive Surgical is 1295056919. It was assigned on June 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Advanced Minimally Invasive Surgical?
Advanced Minimally Invasive Surgical is registered under the primary taxonomy Surgery (code 208600000X).
Where does Advanced Minimally Invasive Surgical practice?
The practice location is 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677. The office can be reached at 480-788-5621 (phone) or 480-779-1277 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295056919 directly on the NPPES registry website at npiregistry.cms.hhs.gov.