NPIMap

Organization Active NPI

Kindred Anesthesia, LLC

  • Anesthesiology Physician
  • Chandler, AZ
National Provider Identifier
1518497882
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KINDRED ANESTHESIA, LLC
Practice address
3782 S White Dr
Chandler, AZ 85286-0024
Phone
(602) 481-7369
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Jerod Bowen
Title
Manager
Phone
(801) 633-6696

Specialties & licenses 1

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

Addresses

Primary practice location

3782 S White Dr
Chandler, AZ 85286-0024

Mailing address

3317 South Higley Road
Ste 114, PMB
Gilbert, AZ 85297
Phone (602) 481-7369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1518497882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 SOUTH HIGLEY ROAD",
            "address_2": "STE 114, PMB",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "602-481-7369",
            "fax_number": "480-452-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 S WHITE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860024",
            "telephone_number": "602-481-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-633-6696"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.