Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Surgicalist of Az PLLC

Organization Surgery Physician · NPI 1881196335

Surgicalist of Az PLLC is a Surgery Physician in Goodyear, Arizona. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13555 W McDowell Rd Ste 204
Goodyear, AZ 85395-2626
Phone: (623) 512-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1881196335
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Surgicalist Group PLLC
Authorized official Mit Desai — Ceo · (813) 530-5043
NPI enumeratedMarch 1, 2018
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023
Mailing addressPo Box 21647, Tampa, FL 33622-1647

Other providers in Goodyear