Exceptional Surgical Providers LLC
Exceptional Surgical Providers LLC is a healthcare organization registered as Surgical Assistant in Phoenix, AZ, holding Type 2 (organization) NPI 1215504998 since 2021. The authorized official on file is Vanessa Koziol, Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215504998 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Exceptional Surgical Providers LLC |
| Practice address | 7600 N 15TH ST STE 290, Phoenix, AZ, 85020 |
| Phone | 6023950718 |
| Fax | 6022778146 |
| Enumeration date | 2021-06-09 |
| Last updated in NPPES | 2021-07-07 |
Authorized official
| Name | Vanessa Koziol |
|---|---|
| Title | Credentialing Specialist |
| Phone | 6023950718 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 246ZC0007X | Surgical Assistant | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PEND | Medicaid | AZ | — |
Copy-ready billing details
Provider: Exceptional Surgical Providers LLC NPI: 1215504998 Taxonomy: 246ZC0007X (Surgical Assistant) Address: 7600 N 15TH ST STE 290, Phoenix, AZ, 85020
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285688689 | William Scibetta | Individual | Anesthesiology Physician | Phoenix, AZ |
| 1619098712 | Ryan Shannon | Individual | Anesthesiology Physician | Phoenix, AZ |
| 1255523213 | Shad Misseldine | Individual | Anesthesiology Physician | Phoenix, AZ |
| 1164868345 | Shad Misseldine, Inc. | Organization | Anesthesiology Physician | Phoenix, AZ |
| 1316383599 | Ryan T Shannon MD Pllc | Organization | Anesthesiology Physician | Phoenix, AZ |
| 1356967236 | Melissa Leonard PA-C Surgical Assist | Organization | Surgical Physician Assistant | Phoenix, AZ |
| 1396315826 | Angela Ko, MD Pllc | Organization | Anesthesiology Physician | Phoenix, AZ |
| 1376290007 | Copper Star Anesthesia, LLC | Organization | Anesthesiology Physician | Phoenix, AZ |
Verify this record
Cross-check NPI 1215504998 against the authoritative CMS record: view Exceptional Surgical Providers LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Exceptional Surgical Providers LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-07.