Organization Active NPI

Endoscopy Anesthesia Service, PLLC

  • Anesthesiology Physician
  • Surprise, AZ
National Provider Identifier
1124422183
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31542 Issued in AZ
Legal business name
ENDOSCOPY ANESTHESIA SERVICE, PLLC
Practice address
12361 W Bola Dr Ste 107
Surprise, AZ 85378-9021
Phone
(623) 332-1441
Fax
(623) 974-9741
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. Thinh Kim Le, MD
Title
Manager
Phone
(623) 332-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 31542 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr Ste 107
Surprise, AZ 85378-9021

Mailing address

4808 N 24TH St Unit 1201
Phoenix, AZ 85016-9114
Phone (623) 332-1441

National Provider Directory

National Provider Directory

Locations

8805 W Union Hills Dr
Ste 101
Peoria, AZ 85382
Phone (623) 332-1441

12361 W Bola Dr
Ste 107
Surprise, AZ 85378
Phone (623) 266-1333

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1124422183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 N 24TH ST UNIT 1201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169114",
            "telephone_number": "623-332-1441",
            "fax_number": "623-974-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 107",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-332-1441",
            "fax_number": "623-974-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY ANESTHESIA SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THINH",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-332-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "31542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.