Organization Active NPI

Anesthesia Anywhere LLC

  • Anesthesiology Physician
  • Tempe, AZ
National Provider Identifier
1124800057
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA ANYWHERE LLC
Practice address
4635 S Lakeshore Dr # 136
Tempe, AZ 85282-7127
Phone
(480) 414-3077
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Eva Maria Lopez, EMT
Title
Ceo
Phone
(480) 548-0566

Specialties & licenses 1

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

Addresses

Primary practice location

4635 S Lakeshore Dr # 136
Tempe, AZ 85282-7127

Mailing address

4635 S Lakeshore Dr # 136
Tempe, AZ 85282-7127
Phone (480) 414-3077

Other identifiers 1

IdentifierTypeStateIssuer
384682MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816002866 AZ Part B Supplier - Clinic/Group Practice 6901344241 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ; Tucson, AZ; Scottsdale, AZ; Gilbert, AZ; Phoenix, AZ; Mesa, AZ; Glendale, AZ

National Provider Directory

National Provider Directory

Locations

18699 N 67th Ave
Ste 220
Glendale, AZ 85308
Phone 4809058485113

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780

4635 S Lakeshore Dr
#136
Tempe, AZ 85282
Phone (480) 414-3077

4635 S Lakeshore Dr
Ste 136
Tempe, AZ 85282
Phone (480) 414-3077

6565 E Carondelet Dr
Ste 300
Tucson, AZ 85710
Phone (520) 296-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1124800057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR # 136",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-414-3077",
            "fax_number": "480-393-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR # 136",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-414-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ANYWHERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-548-0566",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384682",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.

Verify at the official NPI Registry.