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Mvc Az

NPI 1477256063ActiveOrganization· Surgery· Phoenix, AZ

Surgery in Phoenix, Arizona, registered in NPPES in March 2023. The authorized official on file is Matt Kirk, Chief Revenue Officer. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1477256063
StatusActive
Entity typeOrganization
NPI issuedMar 23, 2023
Last updated in NPPESJul 16, 2026
Certified by providerJul 16, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AZ)

Medicare sources and data years

Other general surgeons in Phoenix

All 237 general surgeons in Phoenix · All general surgeons in Arizona