Organization Active NPI

Whitley Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1134827918
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WHITLEY ANESTHESIA GROUP LLC
Practice address
20 West 1St Street
Suite #201
Mesa, AZ 85201-6653
Phone
(480) 874-7014
Fax
(480) 874-7015
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Aaron Whitley, CRNA
Title
Sole MBR
Phone
(480) 874-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

20 West 1St Street
Suite #201
Mesa, AZ 85201-6653

Mailing address

PO Box 5870
Mesa, AZ 85211-5870
Phone (480) 874-7014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1134827918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5870",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852115870",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST 1ST STREET",
            "address_2": "SUITE #201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016653",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "480-874-7014",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.