Southwest Anesthesiology Business Associates PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

29164 Issued in AZ

Legal business name

SOUTHWEST ANESTHESIOLOGY BUSINESS ASSOCIATES PC

Practice address

3533 Canyon de Flores
Ste a
Sierra Vista, AZ 85650-5366

Phone

(520) 227-4355

NPI assigned

Feb 22, 2012

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn M Saba, M.D.NPI 1508885039

Title

Owner

Phone

(520) 515-9751

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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.

• Radwan Saba, MD

  • Anesthesiology Physician
  • Sierra Vista, AZ
  • NPI 1306871892
  Medicare reassignment NPD
• Carolyn Marie Saba, MD

  • Anesthesiology Physician
  • Mammoth Lakes, CA
  • NPI 1508885039
  Authorized official Same address or phone
• Jeffrey M Wolk, MD

  • Urology Physician
  • Sierra Vista, AZ
  • NPI 1184649634
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1467725499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13385",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673385",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 CANYON DE FLORES",
            "address_2": "STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856505366",
            "telephone_number": "520-227-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4580 E Camp Lowell Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121282",
            "country_code": "US",
            "telephone_number": "520-730-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST ANESTHESIOLOGY BUSINESS ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "SABA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-515-9751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "29164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z66877",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708768",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Teresa Spahl, LPC, MA

• Anesthesiology Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.