NPIMap

Organization Active NPI

Mountain West Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1144748906
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0763 Issued in AZ
Legal business name
MOUNTAIN WEST ANESTHESIA PLLC
Practice address
20940 N Tatum Blvd Ste 100
Phoenix, AZ 85050-7259
Phone
(480) 502-4000
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Sorina King
Title
Billing Manager
Phone
(480) 545-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X CRNA0763 AZ Primary

Addresses

Primary practice location

20940 N Tatum Blvd Ste 100
Phoenix, AZ 85050-7259

Mailing address

6728 E Grandview Dr
Scottsdale, AZ 85254-5668
Phone (480) 545-2610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1144748906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 E GRANDVIEW DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545668",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507259",
            "telephone_number": "480-502-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SORINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-545-2610"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.