Epix Anesthesia of Arizona LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

EPIX ANESTHESIA OF ARIZONA LLC

Practice address

1080 Holcomb Bridge Rd
Building 100 Suite 330
Roswell, GA 30076-4346

Phone

(678) 580-1349

Fax

(770) 559-1231

NPI assigned

Jan 8, 2014

Last updated

Jan 15, 2019By 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. Joseph PruittNPI 1164430500

Title

Owner

Phone

(678) 580-1349

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Joseph Pruitt, MD

  • Anesthesiology Physician
  • Golden, CO
  • NPI 1164430500
  NPD (past) Authorized official

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1659793776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 HOLCOMB BRIDGE RD",
            "address_2": "BUILDING 100 SUITE 330",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764346",
            "telephone_number": "678-580-1349",
            "fax_number": "770-559-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HOLCOMB BRIDGE RD",
            "address_2": "BUILDING 100 SUITE 330",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764346",
            "telephone_number": "678-580-1349",
            "fax_number": "770-559-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIX ANESTHESIA OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-580-1349",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enhanced Physical Medicine
• Enhanced Wellness Clinics
• Darius Entesary, LPC
• Epic Group 8
• Epix Anesthesia of Alabama LLC
• Caroline Rose Ernest, PT, DPT
• Andrea Esau, DC
• Monica Estep, RN
• Katherine Stephanie Estes, PA-C
• Debbie Estime, D.C.

• Certified Registered Nurse Anesthetist in Roswell, GA
• Providers in Roswell, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.