Organization Active NPI

MG Anesthesia, LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1073278057
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MG ANESTHESIA, LLC
Practice address
10117 N 92ND St Ste 103
Scottsdale, AZ 85258-4555
Phone
(480) 263-0597
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Grant Cook
Title
Manager
Phone
(480) 263-0597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

10117 N 92ND St Ste 103
Scottsdale, AZ 85258-4555

Mailing address

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1073278057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 305",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 N 92ND ST STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584555",
            "telephone_number": "480-263-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-263-0597"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.