NPIMap

Organization Active NPI

Integrated Anesthesia Consultants PLC

  • Anesthesiology Physician
  • Gilbert, AZ
National Provider Identifier
1144645656
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
INTEGRATED ANESTHESIA CONSULTANTS PLC
Practice address
3615 S Rome St
Gilbert, AZ 85297-7335
Phone
(623) 777-4747
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
David K Tom, MDNPI 1043491988
Title
Owner
Phone
(623) 777-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3615 S Rome St
Gilbert, AZ 85297-7335

Mailing address

PO Box 5068
Sun City West, AZ 85376-5068
Phone (623) 777-4747

Other practice location 1

13203 N 103rd Ave Ste H5
Sun City, AZ 85351-3032
Phone (162) 377-7474

Other practice location 2

13203 N 103rd Ave Ste H5
Sun City, AZ 85351-3032
Phone (162) 377-7474

Other practice location 3

14300 W Granite Valley Dr Ste A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421001511 AZ Part B Supplier - Clinic/Group Practice 2264664549 Receives reassigned benefits from 29 practitioners
Practice locations: Gilbert, AZ; Sun City, AZ; Sun City West, AZ

National Provider Directory

National Provider Directory

Locations

14420 W Meeker Blvd
Ste 211
Sun City West, AZ 85375

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1144645656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765068",
            "telephone_number": "623-777-4747",
            "fax_number": "623-777-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977335",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13203 N 103rd Ave Ste H5",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513032",
            "country_code": "US",
            "telephone_number": "162-377-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13203 N 103rd Ave Ste H5",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513032",
            "country_code": "US",
            "telephone_number": "162-377-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 W Granite Valley Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755797",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "fax_number": "623-777-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED ANESTHESIA CONSULTANTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-777-4747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.