Active NPI
Anesthesia Services of Arizona PC
- Anesthesiology Physician
- Sierra Vista, AZ
National Provider Identifier
1336857085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ANESTHESIA SERVICES OF ARIZONA PC
- Practice address
- 5700 E Highway 90
Sierra Vista, AZ 85635-9110 - Phone
- (520) 263-2000
- NPI assigned
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Melissa Tibedo
- Title
- National Pe Director
- Phone
- (865) 985-7130
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X | |||
| Anesthesiologist Assistant | 367H00000X |
Addresses
Primary practice location
5700 E Highway 90
Sierra Vista, AZ 85635-9110
Mailing address
265 Brookview Centre Way Ste 200
Knoxville, TN 37919-4052
Phone (865) 985-7114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 800.342.2898 | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1871580167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1336857085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY STE 200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194052",
"telephone_number": "865-985-7114",
"fax_number": "865-692-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 E HIGHWAY 90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856359110",
"telephone_number": "520-263-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SERVICES OF ARIZONA PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A",
"authorized_official_last_name": "TIBEDO",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "NATIONAL PE DIRECTOR",
"authorized_official_telephone_number": "865-985-7130"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "800.342.2898",
"affiliation": "N",
"endpointDescription": "800.342.2898",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "800.342.2898",
"address_1": "5700 E Highway 90",
"city": "Sierra Vista",
"state": "AZ",
"country_code": "US",
"postal_code": "856359110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.