Sunrise Anesthesia & Pain Management, PLLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Springerville, AZ
NPI 1023245461 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1023245461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- FELLOW,CPP #8633 (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
- Organization subpart
- No
Authorized official
- Name
- John Clifford Allen, CRNA,MS
- Title
- Executive Director
- Phone
- (928) 468-3132
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | FELLOW,CPP #8633 | AZ | Yes |
| Interventional Pain Medicine Physician |
208VP0014X | FELLOW, CPP #8633 | AZ | |
| Certified Registered Nurse Anesthetist |
367500000X | CRNA0632 | AZ |
Addresses
Primary practice location
114 S Mountain Ave
White Mountain Specialty Clinic
Springerville, AZ 85938-5104
Mailing address
PO Box 1917
Sunrise Anesthesia & Pain Management, PLLC
Springerville, AZ 85938-1917
Phone (928) 468-3132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464411 | Other | AZ | AHCCCS |
Other providers in Springerville, AZ
- Heidi Ponce
- Hal Richins Jr.
- Rocky Mountain Holdings LLC
- Robert Shupak
- Tanette Stites
- Sunrise Anesthesia & Pain Management, PLLC
- Sunrise Anesthesia & Pain Management, PLLC
- Alena Thompson
- TJS Health Inc.
- Valley Spring Behavioral Health LLC
All providers in Springerville, AZ · Pain Medicine (Anesthesiology) Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.