Active NPI
Az Anesthesia Group LLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1154849016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AZ ANESTHESIA GROUP LLC
- Practice address
- 2340 W Parkside LN Ste H107
Phoenix, AZ 85027-1274 - Phone
- (602) 441-3573
- NPI assigned
- Aug 31, 2017
- Last updated
- Feb 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Moshiri
- Title
- Administrator
- Phone
- (602) 441-3573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
2340 W Parkside LN Ste H107
Phoenix, AZ 85027-1274
Mailing address
21001 N Tatum Blvd Ste 1630-606
Phoenix, AZ 85050-4242
Phone (602) 354-5310
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1487628442
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": "1645660800000",
"number": "1154849016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21001 N TATUM BLVD STE 1630-606",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504242",
"telephone_number": "602-354-5310",
"fax_number": "480-887-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 W PARKSIDE LN STE H107",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271274",
"telephone_number": "602-441-3573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ ANESTHESIA GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-31",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "MOSHIRI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-441-3573"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"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 Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.