Organization Active NPI

Ophthalmic Anesthesia Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Show Low, AZ
National Provider Identifier
1366786550
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
OPHTHALMIC ANESTHESIA SERVICES, INC.
Practice address
1500 S White Mountain Rd
Suite 300
Show Low, AZ 85901-7111
Phone
(928) 537-3937
Fax
(602) 508-4830
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Allan Frommert, CRNA
Title
Sole Owner
Phone
(623) 332-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1500 S White Mountain Rd
Suite 300
Show Low, AZ 85901-7111

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1366786550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD",
            "address_2": "SUITE 300",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "928-537-3937",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC ANESTHESIA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "FROMMERT",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "623-332-0606",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.