Active NPI
Susan Bazzell, MD, PLLC
- Anesthesiology Physician
- Mesa, AZ
National Provider Identifier
1669716783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 27804
- Legal business name
- SUSAN BAZZELL, MD, PLLC
- Practice address
- 4838 E Baseline Rd
Suite 108
Mesa, AZ 85206-4671 - Phone
- (480) 981-2400
- Fax
- (480) 981-2407
- NPI assigned
- Nov 15, 2012
- 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
- Susan K. Bazzell, M.D.
- Title
- Owner
- Phone
- (520) 288-5788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 27804 | AZ | Primary |
Addresses
Primary practice location
4838 E Baseline Rd
Suite 108
Mesa, AZ 85206-4671
Mailing address
5151 E. Broadway
Suite 1600
Tucson, AZ 85711
Phone (520) 288-5788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531310 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1669716783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 E. BROADWAY",
"address_2": "SUITE 1600",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-288-5788",
"fax_number": "480-981-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4838 E BASELINE RD",
"address_2": "SUITE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852064671",
"telephone_number": "480-981-2400",
"fax_number": "480-981-2407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN BAZZELL, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "BAZZELL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-288-5788",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "AZ",
"license": "27804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "531310",
"state": "AZ"
}
],
"endpoints": [],
"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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.