Organization · Type 2 NPI

Phoenix Spine Goodyear Asc, LLC

Ambulatory Surgical Clinic/Center · Goodyear, AZ

NPI number 1891175188 Active

Practice location

140 N Litchfield Rd Ste 110
Goodyear, AZ 85338-1226

Fax (602) 256-0795

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	OSC7127 (AZ)

Ambulatory Surgical Clinic/Center: Definition to come...

5 other providers at this address

Legendmed PLLCCertified Registered Nurse Anesthetist Goodyear, AZ NPI 1780359653
Moore Advanced Orthopedics PLLCOrthopaedic Surgery Physician Goodyear, AZ NPI 1720708753
Nocio, LLCInterventional Pain Medicine Physician Goodyear, AZ NPI 1245694108
Carla Melendez, PAPhysician Assistant Goodyear, AZ NPI 1184499337
Nathan Thomas Moore, DOAdult Reconstructive Orthopaedic Surgery Physician Goodyear, AZ NPI 1346575081

NPI record

NPI: 1891175188
Entity type: Organization (Type 2)
Issued: Jun 2, 2015
Last updated: Sep 22, 2025
Status: Active

Other names

<unavail>
Phoenix Spine Surgery Center · doing business as
Arizona Center for Neurosurgery Ltd · former legal business name

Authorized official

Eric Boon
Market President
(480) 567-0269

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1891175188

Phoenix Spine Goodyear Asc, LLC's National Provider Identifier is 1891175188, issued on Jun 2, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Goodyear, AZ. The record was last updated on Sep 22, 2025.