Organization Active NPI

Az Anesthesia, PC

  • Pain Medicine (Anesthesiology) Physician
  • Philadelphia, PA
National Provider Identifier
1356411060
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD054720L Issued in PA
Legal business name
AZ ANESTHESIA, PC
Practice address
12000 Bustleton Ave
Suite 208
Philadelphia, PA 19116-2151
Phone
(215) 969-2331
Fax
(215) 969-2334
NPI assigned
Nov 9, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Mrs. Julia Zonshayn
Title
Manager
Phone
(215) 969-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD054720L PA Primary

Addresses

Primary practice location

12000 Bustleton Ave
Suite 208
Philadelphia, PA 19116-2151

Mailing address

12000 Bustleton Ave
Suite 208
Philadelphia, PA 19116-2151
Phone (215) 969-2331

Other identifiers 1

IdentifierTypeStateIssuer
1015546500001MedicaidPA

National Provider Directory

National Provider Directory

Locations

11044 Rennard St
Philadelphia, PA 19116
Phone (215) 969-2331

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1356411060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 BUSTLETON AVE",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162151",
            "telephone_number": "215-969-2331",
            "fax_number": "215-969-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 BUSTLETON AVE",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162151",
            "telephone_number": "215-969-2331",
            "fax_number": "215-969-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "ZONSHAYN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-969-2331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD054720L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015546500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.