{"npi":"1679826051","type":"NPI-2","status":"active","name":{"display":"Az Richardson Surgical Services, LLC","other":[],"organization_name":"AZ RICHARDSON SURGICAL SERVICES, LLC","authorised_official":"Keri Richardson"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"AZ","license":"2908"}]},"addresses":[{"purpose":"LOCATION","street_1":"1776 N SCOTTSDALE RD UNIT 368","city":"SCOTTSDALE","state":"AZ","postal_code":"852523616","country_code":"US","phone":"4802015264","fax":"4803931970"},{"purpose":"MAILING","street_1":"PO BOX 368","city":"SCOTTSDALE","state":"AZ","postal_code":"852520368","country_code":"US","phone":"4802015264","fax":"4803931970"}],"license":{"state":"AZ","number":"2908"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130211000273","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AZ","pac_id":"8921252438"}]},"enumeration_date":"2012-10-22","last_updated":"2024-03-07","_meta":{"source":"NPPES","snapshot_date":"2024-03-07","doc_url":"https://findmynpi.com/api"}}