Individual provider Active NPI

Jeffrey M Gorzitze, CRNA

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
National Provider Identifier
1386649952
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1034 Issued in AZ
Practice address
1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone
(480) 833-9100
Fax
(480) 833-6000
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1034 AZ Primary

Addresses

Primary practice location

1055 S Stapley Dr
Mesa, AZ 85204-5013

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (480) 892-8400

Other identifiers 1

IdentifierTypeStateIssuer
912828MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140707002202 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921053927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

4921 E Bell Rd
Suite 102
Scottsdale, AZ 85254-6002
Phone (602) 787-9100

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Apr 1, 2018 Accepting new patients
Sheridan Healthcare of Colorado PC Anesthesiology Past Accepting new patients
Anesthesia & Pain Management Services of Pueblo Anesthesiology PastSince Nov 21, 2015 Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2242 W 16th St
Safford, AZ 85546
Phone (928) 428-0068

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

75 Colonia de Salud
Ste 100A
Sierra Vista, AZ 85635
Phone (520) 459-6860

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

14820 N Del Webb Blvd
Sun City, AZ 85351

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 120
Tucson, AZ 85705
Phone (520) 955-1000

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

Organizations & group practices 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1386649952",
    "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": "480-892-8400",
            "fax_number": "480-892-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045013",
            "telephone_number": "480-833-9100",
            "fax_number": "480-833-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZITZE",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.