Capstone Medical Arizona, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

DO1477 Issued in NV

Legal business name

CAPSTONE MEDICAL ARIZONA, LLC

Practice address

5330 Hwy 95
Fort Mohave, AZ 86426-9225

Phone

(702) 289-4137

NPI assigned

Dec 16, 2014

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Liang, D.O.

Title

Managing Partner

Phone

(702) 389-4137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1225436694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52650",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080133",
            "telephone_number": "702-289-4137",
            "fax_number": "888-945-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 HWY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269225",
            "telephone_number": "702-289-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE MEDICAL ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-389-4137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "DO1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Brocard
• Hector Burgara Jr., PHARMD
• Kelly T. Buth, D.C.
• Mikala Lin Byers, MSOT, OTR/L
• Dilyara Cannon
• Lisa Jane Carpenter, P.A.C.
• Mary E. Carter, D.C.
• Nicole Eileen Cash, FNP-C
• Ali Chaudhry, MD
• CL Valley Dental

• Anesthesiology Physician in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.