Sunrise Anesthesia & Pain Management, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

FELLOW,CPP #8633 Issued in AZ

Legal business name

SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC

Practice address

114 S Mountain Ave
White Mountain Specialty Clinic
Springerville, AZ 85938-5104

Phone

(928) 468-3132

Fax

(888) 717-3257

NPI assigned

Jun 11, 2009

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Clifford Allen, CRNA,MS

Title

Executive Director

Phone

(928) 468-3132

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1023245461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "address_2": "SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859381917",
            "telephone_number": "928-468-3132",
            "fax_number": "888-717-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MOUNTAIN AVE",
            "address_2": "WHITE MOUNTAIN SPECIALTY CLINIC",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-468-3132",
            "fax_number": "888-717-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-468-3132",
        "authorized_official_credential": "CRNA,MS"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "FELLOW,CPP #8633",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "FELLOW, CPP #8633",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Ponce
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• Robert Shupak, M.D.
• Tanette Stites, RN
• Sunrise Anesthesia & Pain Management, PLLC
• Sunrise Anesthesia & Pain Management, PLLC
• Alena Thompson, FNP-C
• TJS Health Inc.
• Valley Spring Behavioral Health LLC

• Pain Medicine (Anesthesiology) Physician in Springerville, AZ
• Providers in Springerville, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.