Active NPI
Hualapai Mountain Anesthesia PLLC
- Anesthesiology Physician
- Kingman, AZ
National Provider Identifier
1427342724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- HUALAPAI MOUNTAIN ANESTHESIA PLLC
- Practice address
- 3801 Santa Rosa Dr
Kingman, AZ 86401-2311 - Phone
- (928) 263-5100
- NPI assigned
- Jun 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gordon Burns, MD
- Title
- MD/Owner
- Phone
- (928) 757-7976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Mailing address
3727 Cerbat Vista Dr
Kingman, AZ 86409-6950
Phone (928) 757-7976
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Kingman, AZ
- NPI 1265503734
-
- Anesthesiology Physician
- Lakeville, NY
- NPI 1114977741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1427342724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 CERBAT VISTA DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864096950",
"telephone_number": "928-757-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SANTA ROSA DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864012311",
"telephone_number": "928-263-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUALAPAI MOUNTAIN ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-03",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "GORDON",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "928-757-7976",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.