Pioneer Anesthesia Group Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PIONEER ANESTHESIA GROUP INC

Practice address

3715 W 4100 S
West Valley City, UT 84120-5537

Phone

(888) 304-6796

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Sudha B Shah, MDNPI 1174628978

Title

President

Phone

(888) 304-6796

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudha B Shah, MD

  • Anesthesiology Physician
  • West Valley City, UT
  • NPI 1174628978
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1619906310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3750",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103750",
            "telephone_number": "888-304-6796",
            "fax_number": "801-432-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205537",
            "telephone_number": "888-304-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER ANESTHESIA GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-304-6796",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmaceutical and Diagnostic Services Inc
• Ivy Mare Phoenix, CMHC
• Physicians Advanced Integrated Network, LLC
• Chelsea N Pilger, CSW
• Michael F Pingree, M.D.
• Pioner Valley Hospital Inc
• Planet Tooth LLC
• Planned Parenthood Association of Utah
• Lee F Plaskett, D.C.
• Deborah Plasman, PA C

• Anesthesiology Physician in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.