Az Richardson Surgical Services, LLC
NPI 1679826051ActiveOrganization· Physician Assistant, Surgical· Scottsdale, AZ
Physician Assistant, Surgical in Scottsdale, Arizona, registered in NPPES in October 2012. The authorized official on file is Keri L. Richardson, PA-C, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679826051 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2012 |
| Last updated in NPPES | Mar 7, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 2908 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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