Individual provider Active NPI

Jack E Tobey, CRNA MS

  • Certified Registered Nurse Anesthetist
  • Sun City West, AZ
National Provider Identifier
1417940370
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN067637 Issued in AZ
Practice address
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone
(623) 524-4000
NPI assigned
Aug 25, 2005
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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 RN067637 AZ Primary

Addresses

Primary practice location

14502 W Meeker Blvd
Sun City West, AZ 85375-5282

Mailing address

8144 E Cactus Rd Ste 800
Scottsdale, AZ 85260-5266
Phone (602) 463-7314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000464 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547235855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Camelback Anesthesia PLLCGroup PAC ID 0143205419, 8 clinicians
Union Hills Pain Partners LLCGroup PAC ID 5092024836, 8 clinicians

Practice addresses (Care Compare)

2421 E Southern Ave
Suite 7
Tempe, AZ 85282-7612
Phone (480) 425-2160

4727 E Union Hills Dr
Suite 300
Phoenix, AZ 85050-3387
Phone (480) 207-3737

Merit-based Incentive Payment System (MIPS)

Final score
70 of 100Reported as individual
Quality
40
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
RN067637AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiac Anesthesia PLLC CurrentSince Jun 17, 2024 Accepting new patients
Union Hills Pain Partners LLC CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Jun 15, 2019 Accepting new patients
Camelback Anesthesia PLLC CurrentSince Jun 20, 2024 Accepting new patients
Anesthesia Medical Professionals, PC Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

4727 E Union Hills Dr
Ste 300
Phoenix, AZ 85050
Phone (480) 207-3737

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141

2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1417940370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 E CACTUS RD STE 800",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605266",
            "telephone_number": "602-463-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "623-524-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY",
        "first_name": "JACK",
        "middle_name": "E",
        "credential": "CRNA MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN067637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.