NPIMap

Organization Active NPI

Sunrise Anesthesia & Pain Management, PLLC

  • Pain Clinic/Center
  • Springerville, AZ
National Provider Identifier
1528367646
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
CRNA0632 Issued in AZ
Legal business name
SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC
Practice address
114 S Mountain Ave
Springerville, AZ 85938-5104
Phone
(928) 333-0562
Fax
(928) 333-7157
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
John C Allen, CRNA
Title
Ceo/Provider
Phone
(928) 468-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X CRNA0632 AZ Primary

Addresses

Primary practice location

114 S Mountain Ave
Springerville, AZ 85938-5104

Mailing address

PO Box 1917
Springerville, AZ 85938-1917
Phone (928) 468-3132

Other identifiers 1

IdentifierTypeStateIssuer
464411MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Anesthesia Pain2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1528367646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859381917",
            "telephone_number": "928-468-3132",
            "fax_number": "888-589-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MOUNTAIN AVE",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859385104",
            "telephone_number": "928-333-0562",
            "fax_number": "928-333-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ANESTHESIA & PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "928-468-3132",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": "CRNA0632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464411",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springerville, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.