Organization Active NPI

Global Mobile Anesthesia LLC

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1396181392
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GLOBAL MOBILE ANESTHESIA LLC
Practice address
16620 N 40TH St
Suite D1
Phoenix, AZ 85032-3348
Phone
(602) 819-2038
NPI assigned
May 16, 2013
Organization subpart
Yes
Parent organization
GLOBAL ANESTHESIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Igor Kravchenko, M.D.
Title
Owner/Authorized Official
Phone
(602) 909-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X AZ Primary

Addresses

Primary practice location

16620 N 40TH St
Suite D1
Phoenix, AZ 85032-3348

Mailing address

16620 N 40TH St
Suite D1
Phoenix, AZ 85032-3348
Phone (602) 819-2038

National Provider Directory

National Provider Directory
Part of
Global Anesthesia LLC

Locations

16620 N 40th St
Ste D1
Phoenix, AZ 85032
Phone (480) 565-7246

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1396181392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "SUITE D1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-819-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "SUITE D1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-819-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MOBILE ANESTHESIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLOBAL ANESTHESIA",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KRAVCHENKO",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "602-909-8791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.