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NPI Code Detail

MEDICARE: ACUTE CARE SURGICAL SPECIALISTS, LLC

MEDICARE: ACUTE CARE SURGICAL SPECIALISTS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number : 1225311871
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUTE CARE SURGICAL SPECIALISTS, LLC
Provider Business Mailing Address
First Line : 16601 N 40TH ST STE 104
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3353
Country : US
Telephone Number : 602-633-3721
Fax Number : 602-953-5466
Provider Business Practice Location Address
First Line : 16601 N 40TH ST STE 104
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3353
Country : US
Telephone Number : 602-633-3721
Fax Number : 602-953-5466
Authorized Official
Title or Position : CEO
Name : CYNTHIA SHIVELY
Credential :
Telephone Number : 602-996-4747
Provider Enumeration Date : 09/20/2011
Last Update Date : 03/11/2026

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Directions to “ACUTE CARE SURGICAL SPECIALISTS, LLC ” Practice Location

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