Anesthesia Services for Gi LLC
Organization Active NPI Gastroenterology Physician · Peoria, AZ
NPI 1043849458 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1043849458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- ANESTHESIA SERVICES FOR GI LLC
- Practice address
- 14155 N 83Rd Ave Ste 122
Peoria, AZ 85381-5640 - Phone
- (623) 694-1445
- NPI assigned
- Apr 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Daljit Singh Bal, M.D.
- Title
- President/Owner
- Phone
- (623) 694-1445
Practitioners 12
-
Bryan Dance, CRNA
-
Edna Kemboi, DNAP CRNA
-
Paul More III, CRNA
-
Preeti Sanga, CRNA
-
Marry Lynn Williams, CRNA
-
Daljit S Bal, MD
-
Antony K Waweru, CRNA
-
Lorraine Allison English, CRNA
-
Anastasia A Ganesh, CRNA
-
Allie M Hamilton, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200428000578 | AZ | Part B Supplier - Clinic/Group Practice | 2466882774 |
Receives reassigned benefits from 12 practitioners Practice locations: Peoria, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
14155 N 83Rd Ave Ste 122
Peoria, AZ 85381-5640
Mailing address
6501 W Dailey St
Glendale, AZ 85306-3770
Phone (623) 694-1445
Other providers in Peoria, AZ
- Kanesha Anderson
- Matthew R Anderson
- Andrew Lawson Counseling LLC
- Alicia J Andrews
- Aneecias Destiny LLC
- Anesthesia Services of America LLC
- Angel Kids Academy LLC
- Angel Ministries, LLC
- Janice Silva Angeles
- Jose M Angeles
All providers in Peoria, AZ · Gastroenterology 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 Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.