Active NPI
North Gate Anesthesia PC
- Certified Registered Nurse Anesthetist
- Casa Grande, AZ
National Provider Identifier
1073026464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA1208
- Legal business name
- NORTH GATE ANESTHESIA PC
- Practice address
- 1780 E Florence Blvd Ste 104
Casa Grande, AZ 85122-4782 - Phone
- (480) 323-5131
- NPI assigned
- Nov 8, 2017
- Last updated
- Feb 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Marler, CRNA
- Title
- President
- Phone
- (480) 323-5131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-83704 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA1208 | AZ | Primary |
Addresses
Primary practice location
1780 E Florence Blvd Ste 104
Casa Grande, AZ 85122-4782
Mailing address
3527 E Mallory Cir
Mesa, AZ 85213-1744
Phone (480) 323-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRNA01424 | Other | NM | CRNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1780 E Florence Blvd
Ste 104
Casa Grande, AZ 85122
Phone (520) 426-1928
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676332800000",
"number": "1073026464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 E MALLORY CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852131744",
"telephone_number": "480-323-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 E FLORENCE BLVD STE 104",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224782",
"telephone_number": "480-323-5131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GATE ANESTHESIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-08",
"last_updated": "2023-02-14",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "MARLER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-323-5131",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-83704",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA1208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA",
"identifier": "CRNA01424",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
- No Ka Heke LLC (Na'au Healing Center)
- Lakshmi Rebecca Nolletti, LCSW, LISAC, SAP
- Calvin Wayne Noonan, DPT
- Logan Robert Nordquist, DPT
- Jocelyn Noriega, NP
- Northland Hearing Centers, Inc. (SoundPoint Hearing Centers)
- Johannes A Nurman, M.D.
- Dalys Marisol O'Connor
- Kary L O'Connor, CNS/CRNFA
- Oasis Home Dialysis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.