Steven P Laitin, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24192 Issued in AZ

Practice address

11024 N 28TH Dr
Suite 160
Phoenix, AZ 85029-4377

Phone

(480) 361-7680

Fax

(480) 361-7683

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Desert Valley Advanced Pain Management, PLLC

  • Specialist
  • Phoenix, AZ
  • NPI 1851552400
  NPD (past)
• Richard L Gomez MD PC

  • Specialist
  • Scottsdale, AZ
  • NPI 1447305420
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1255327474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501019",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITIN",
        "first_name": "STEVEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24192",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "24192",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "24192",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "24192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z28744",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351792",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Renee Laird, M.A., BCBA
• Deborah G Laird, PHARMD
• Katherine Nicole Laird, SLPA
• Matthew Dean Laird, PMHNP-BC
• Jeffrey A Laiserin, M.D.
• Danielle Lucie Lajeunesse, DC
• Lake Mi Mobile Doctors, P.C.
• Lake Pleasant Surgical Center LLC
• Herbert Vincent Lake, D.C.
• Melissa Lake, LAC

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.