Organization Active NPI

Kurefusion, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Mesa, AZ
National Provider Identifier
1295281863
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
33634 Issued in AZ
Legal business name
KUREFUSION, PLLC
Practice address
4862 E. Baseline Road
Suite 108
Mesa, AZ 85206-4668
Phone
(480) 981-2404
Fax
(480) 981-2407
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Brian Jeffrey Delisio, M.D.
Title
Managing Partner, President
Phone
(480) 981-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LA0401X 33634 AZ
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 33634 AZ Primary

Addresses

Primary practice location

4862 E. Baseline Road
Suite 108
Mesa, AZ 85206-4668

Mailing address

4838 E. Baseline Road
Suite 108
Mesa, AZ 85206-4672
Phone (480) 981-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1295281863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064672",
            "telephone_number": "480-981-2400",
            "fax_number": "480-981-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4862 E. BASELINE ROAD",
            "address_2": "SUITE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064668",
            "telephone_number": "480-981-2404",
            "fax_number": "480-981-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUREFUSION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DELISIO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER, PRESIDENT",
        "authorized_official_telephone_number": "480-981-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AZ",
            "license": "33634",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "33634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.