Airway Management Specialist PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

52034 Issued in AZ

Legal business name

AIRWAY MANAGEMENT SPECIALIST PLLC

Practice address

8424 E Shea Blvd Ste 101
Scottsdale, AZ 85260-6662

Phone

(480) 256-1518

NPI assigned

Mar 13, 2018

Last updated

Sep 10, 2023By 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

Jay H Shah, MDNPI 1609134535

Title

President

Phone

(319) 389-6846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Shah

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1609134535
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694304000000",
    "number": "1316440704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 E PICCADILLY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606662",
            "telephone_number": "480-256-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRWAY MANAGEMENT SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-389-6846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "52034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.