Active NPI
Colt Anesthesia, LLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1609319813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 207L00000X
- Legal business name
- COLT ANESTHESIA, LLC
- Practice address
- 3724 N 3Rd St
Suite 301
Phoenix, AZ 85012-2034 - Phone
- (480) 331-4222
- NPI assigned
- Nov 21, 2016
- Organization subpart
- Yes
- Parent organization
- CALIBER ANESTHESIA, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Challen Waychoff
- Title
- Cfo
- Phone
- (480) 331-4222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 207L00000X | AZ | Primary |
Addresses
Primary practice location
3724 N 3Rd St
Suite 301
Phoenix, AZ 85012-2034
Mailing address
3724 N 3Rd St
Suite 301
Phoenix, AZ 85012-2034
Phone (480) 331-4222
National Provider Directory
National Provider Directory- Part of
- Caliber Anesthesia LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1770908592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1609319813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 N 3RD ST",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122034",
"telephone_number": "480-331-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 N 3RD ST",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122034",
"telephone_number": "480-331-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLT ANESTHESIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALIBER ANESTHESIA, LLC",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "WAYCHOFF",
"authorized_official_first_name": "CHALLEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "480-331-4222"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "207L00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.