Imus Sleep PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0698 Issued in AZ

Legal business name

IMUS SLEEP PLLC

Practice address

4022 E Presidio St
Mesa, AZ 85215-1113

Phone

(480) 296-7642

Fax

(480) 296-7643

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Frederick Scott Imus, CRNA

Title

Sole Member

Phone

(480) 570-9766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1073047460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20610",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770610",
            "telephone_number": "480-296-7642",
            "fax_number": "480-296-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151113",
            "telephone_number": "480-296-7642",
            "fax_number": "480-296-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMUS SLEEP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "IMUS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-570-9766",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.