Individual provider Active NPI

Ernest Rudolph Anders III, MD

  • Anesthesiology Physician
  • Scottsdale, AZ
National Provider Identifier
1326044355
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24202 Issued in AZ
Practice address
9705 E Laurel LN
Scottsdale, AZ 85260-5959
Phone
(602) 769-9691
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24202 AZ Primary

Addresses

Primary practice location

9705 E Laurel LN
Scottsdale, AZ 85260-5959

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718

Other practice location 1

2620 N 3rd St
Phoenix, AZ 85004-1153
Phone (602) 489-3391

Other practice location 2

875 N Greenfield Rd Ste 107
Gilbert, AZ 85234-5044
Phone (480) 813-8700

Other practice location 3

7600 N 16th St
Suite 150
Phoenix, AZ 85020-4431
Phone (602) 395-0178

Other practice location 4

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900

Other identifiers 1

IdentifierTypeStateIssuer
353491MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Anesthesia Associates PLC Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1326044355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 E LAUREL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605959",
            "telephone_number": "602-769-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041153",
            "country_code": "US",
            "telephone_number": "602-489-3391",
            "fax_number": "602-452-1464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 N Greenfield Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345044",
            "country_code": "US",
            "telephone_number": "480-813-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 N 16th St",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850204431",
            "country_code": "US",
            "telephone_number": "602-395-0178",
            "fax_number": "602-277-8146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Missouri Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121351",
            "country_code": "US",
            "telephone_number": "602-262-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "ERNEST",
        "middle_name": "RUDOLPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "24202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.