Organization Active NPI

Prescott Anesthesia Management

  • Anesthesiology Physician
  • Katy, TX
National Provider Identifier
1245862622
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRESCOTT ANESTHESIA MANAGEMENT
Practice address
21300 Provincial Blvd Ste 200
Katy, TX 77450-7580
Phone
(480) 626-1746
NPI assigned
Feb 4, 2020
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Aaron Kovac
Title
Owner
Phone
(480) 626-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

21300 Provincial Blvd Ste 200
Katy, TX 77450-7580

Mailing address

2120 E Kaibab PL
Chandler, AZ 85249-5492

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1245862622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E KAIBAB PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 PROVINCIAL BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "480-626-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT ANESTHESIA MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "KOVAC",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-626-1746"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.