Healthcare Provider Details

I. General information

NPI: 1275491722
Provider Name (Legal Business Name): ARIZONA COMMUNITY SURGEONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12460 N RANCHO VISTOSO BLVD STE 110
ORO VALLEY AZ
85755-1988
US

IV. Provider business mailing address

8340 N THORNYDALE RD STE 110
TUCSON AZ
85741-1162
US

V. Phone/Fax

Practice location:
  • Phone: 520-750-7160
  • Fax:
Mailing address:
  • Phone: 520-750-7160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARA GIRARD
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 520-750-7162