Active NPI
Ernest Rudolph Anders III, MD
- Anesthesiology Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353491 | Medicaid | AZ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Anesthesia Associates PLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1013366954
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.