OrganizationActive
Advanced Plastic Surgery Center, L.L.C.
NPI 1447458591 · Ambulatory Surgical Clinic/Center · Prescott, AZ
Provider details
- NPI number
- 1447458591
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Fetter, Medical Director(928) 777-0200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1615 Petroglyph Point Dr
Prescott, AZ 86301-6539
Phone: (928) 777-0200
Fax: (928) 443-1117
Street-level locationGet directions
Mailing address
1615 Petroglyph Point Dr
Prescott, AZ 86301-6539
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2007-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.