Active NPI
Woseglobal Anesthesia Services LLC
- Anesthesiology Physician
- Mesa, AZ
National Provider Identifier
1598336927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- WOSEGLOBAL ANESTHESIA SERVICES LLC
- Practice address
- 10539 E Kinetic Dr
Mesa, AZ 85212-8043 - Phone
- (602) 395-0718
- NPI assigned
- Jul 7, 2021
- Last updated
- Sep 10, 2021
- 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
- Vanessa Koziol
- Title
- Credentialing
- Phone
- (480) 376-6456
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
10539 E Kinetic Dr
Mesa, AZ 85212-8043
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PEND | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@eamedbill.com |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1598336927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699179",
"telephone_number": "602-395-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10539 E KINETIC DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852128043",
"telephone_number": "602-395-0718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOSEGLOBAL ANESTHESIA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-07",
"last_updated": "2021-09-10",
"certification_date": "2021-07-07",
"status": "A",
"authorized_official_last_name": "KOZIOL",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "480-376-6456"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PEND",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@eamedbill.com",
"affiliation": "N",
"address_1": "10539 E Kinetic Dr",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852128043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.