Trevor D Page, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0772 Issued in AZ

Practice address

1301 S Crismon Rd
Mesa, AZ 85209

Phone

(480) 358-6100

NPI assigned

Dec 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Skies Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • St George, UT
  • NPI 1144070673

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• John T Goodsell DO PC Gregory Linderer MD LTD

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1427000413
  NPD (past)
• Red Rocks Surgical Center PC

  • Ambulatory Surgical Clinic/Center
  • St George, UT
  • NPI 1457076903
  NPD (past)

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1194054403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 E INGRAM CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072989",
            "telephone_number": "801-628-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-358-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 W Lake Mead Pkwy",
            "address_2": "#B-18",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157055",
            "country_code": "US",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 E 100 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021520",
            "country_code": "US",
            "telephone_number": "801-410-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "TREVOR",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "TCRNA800131",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "MP4670976",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Padron Alonso
• Yudaimy Padron Pena
• Yaneiris Padron
• Jenny Pagan
• Malia Pagan, LMT
• Paul John Pages, DPT
• Derek Matthew Pagsolingan, RN
• Tara C Pai, DPT
• Angel Beth Paige, LPCC, LPC, LISAC
• Jasiya Paika, FNP

• Certified Registered Nurse Anesthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.