Organization Active NPI

Precision Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
National Provider Identifier
1184232860
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRECISION ANESTHESIA LLC
Practice address
5235 E Southern Ave Ste D106-448
Mesa, AZ 85206-3626
Phone
(760) 969-2419
NPI assigned
Jul 17, 2020
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Jenna Fisher
Title
Owner
Phone
(602) 803-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

5235 E Southern Ave Ste D106-448
Mesa, AZ 85206-3626

Mailing address

5235 E Southern Ave Ste D106-448
Mesa, AZ 85206-3626
Phone (602) 803-5871

Other identifiers 7

IdentifierTypeStateIssuer
1194272468OtherNPI
1659559722OtherNPI
1518101534OtherNPI
1205206190OtherNPI
1083010730OtherNPI
1134654874OtherNPI
1093051674OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL address

National Provider Directory

National Provider Directory

Locations

5235 E Southern Ave
Ste D106448
Mesa, AZ 85206
Phone (760) 969-2419

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1184232860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 E SOUTHERN AVE STE D106-448",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063626",
            "telephone_number": "602-803-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 E SOUTHERN AVE STE D106-448",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063626",
            "telephone_number": "760-969-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-803-5871"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194272468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659559722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518101534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205206190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083010730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134654874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093051674",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "address",
            "affiliation": "N",
            "endpointDescription": "address",
            "address_1": "5235 E Southern Ave Ste D106-448",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852063626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 3, 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.