Acacia Anesthesia, PLLC

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

Legal business name

ACACIA ANESTHESIA, PLLC

Practice address

1500 S Dobson Rd
Suite 203
Mesa, AZ 85202-4713

Phone

(480) 512-5737

Fax

(480) 512-5486

NPI assigned

Jul 30, 2007

Last updated

Dec 14, 2007By 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. Efrem Miller, M.D.NPI 1982672176

Title

Partner

Phone

(480) 844-7100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 14

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.

• Jasjeet Singh Somal, MD

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1861513509
  Medicare reassignment Care Compare group
• Kimberly Susan Zencka Gotsch, DO

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1598915050
  Medicare reassignment Care Compare group
• Michelle Cederburg, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1477672806
  Medicare reassignment NPD
• Andrew Barton Mangum, MD

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1417165770
  Medicare reassignment NPD
• Gerald D. Peiser, D.O.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1003813643
  Medicare reassignment NPD
• Christian Elias Renaud, M.D.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1952495178
  Medicare reassignment NPD
• Lori K Ryan, MD

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1356301279
  Medicare reassignment NPD
• Kathleen Strohmeyer, MD

  • Pediatric Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1982721445
  Medicare reassignment NPD
• Kai Sun

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1013037985
  Medicare reassignment NPD
• Michael W Bradstock, MD

  • Anesthesiology Physician
  • Minneapolis, MN
  • NPI 1316174477

  AZ

  Medicare reassignment NPD
• Stephen James Korn, MD

  • Anesthesiology Physician
  • Sharon, MA
  • NPI 1417947847

  AZ

  Medicare reassignment NPD
• Jacqueline Audreymenia Powell, MD

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1134125230

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1528258118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-512-5737",
            "fax_number": "480-512-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024713",
            "telephone_number": "480-512-5737",
            "fax_number": "480-512-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EFREM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-844-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Anesthesiology) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Critical Care Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.