OrganizationActive
Phoenix Plastic Surgery, PLLC
NPI 1508421819 · Plastic and Reconstructive Surgery Physician · Phoenix, AZ
Provider details
- NPI number
- 1508421819
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roni Prucz, Managing Partner(480) 625-0003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
9250 N 3rd St Ste 1003
Phoenix, AZ 85020-2402
Phone: (602) 331-7811
Fax: (833) 807-8800
Street-level locationGet directions
Mailing address
7575 E Redfield Rd Ste 235
Scottsdale, AZ 85260-3929
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2019-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.