NPIMap

Organization Active NPI

Palomino Anesthesiology LTD

  • Anesthesiology Physician
  • Phienix, AZ
National Provider Identifier
1114139649
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PALOMINO ANESTHESIOLOGY LTD
Practice address
4441 E McDowell Rd
Suite 101
Phienix, AZ 85008-4503
Phone
(602) 273-6770
Fax
(602) 889-0489
NPI assigned
May 4, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Jordan T Leake, M.D.NPI 1184620825
Title
Owner
Phone
(602) 273-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4441 E McDowell Rd
Suite 101
Phienix, AZ 85008-4503

Mailing address

PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1114139649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 E MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "PHIENIX",
            "state": "AZ",
            "postal_code": "850084503",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMINO ANESTHESIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "LEAKE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-273-6770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.