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

Tada Southwest Spine LLC

Organization Surgery Physician · NPI 1528662079

Tada Southwest Spine LLC is a Surgery Physician in Mesa, Arizona. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 E Baseline Rd Ste 119
Mesa, AZ 85206-4617
Phone: (480) 354-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2919 S Ellsworth Rd Ste 109, Mesa, AZ 85212-2165 — (480) 354-2008

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1528662079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Taylor — Member/Owner · (480) 354-2008
NPI enumeratedNovember 25, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020
Mailing address2919 S Ellsworth Rd Ste 102, Mesa, AZ 85212-2165

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