Premier HD CVT Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0791 Issued in AZ

Legal business name

PREMIER HD CVT ANESTHESIA PLLC

Practice address

7878 N 16TH St
Phoenix, AZ 85020-4449

Phone

(602) 395-0718

Fax

(602) 277-8146

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Juan Depaolo, CRNA

Title

Member

Phone

(602) 395-0718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1225402001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204449",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HD CVT ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "DEPAOLO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-395-0718",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Anesthesia Consultants, PC
• Premier Anesthesia Services PLLC
• Premier Assisted Living, LLC
• Premier Draw Services LLC
• Premier Ear, Nose and Throat Surgeons, LTD
• Premier Health & Wellness, LLC
• Premier Home Health Inc
• Premier Hospice and Palliative Care, LLC
• Premier Hospice LLC
• Premier Innovative Care Services

• Certified Registered Nurse Anesthetist in Phoenix, AZ
• Providers in Phoenix, 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 Nov 17, 2015; 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.