1023210036 NPI number — PHOENIX ANESTHESIA ASSOCIATES PLLC

Table of content: (NPI 1023210036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023210036 NPI number — PHOENIX ANESTHESIA ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHOENIX ANESTHESIA ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023210036
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 40670
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85274-0670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-981-9151
Provider Business Mailing Address Fax Number:
480-324-5459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4002 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85205-8612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-981-9151
Provider Business Practice Location Address Fax Number:
480-324-5459
Provider Enumeration Date:
06/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LARGE
Authorized Official First Name:
RANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
480-981-9151

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  3086 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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