Individual provider Active NPI

Stephen Jaszkowiak, D.O.

  • Anesthesiology Physician
  • Glendale, AZ
National Provider Identifier
1669765285
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
010397 Issued in AZ
Practice address
6622 N 91St Ave Ste 230
Glendale, AZ 85305-2570
Phone
(602) 325-2024
Fax
(720) 925-5897
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 330512 LA
Anesthesiology Physician 207L00000X O-0686 ID
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 010397 AZ Primary

Addresses

Primary practice location

6622 N 91St Ave Ste 230
Glendale, AZ 85305-2570

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599

Other practice location 1

2005 Knight Lane
BLDG H Navy Medicine Support Command
Jacksonville, FL 32212-0140
Phone (719) 964-6645

Other practice location 2

180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 464-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, LA, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201016000721 ID Practitioner - Anesthesiology 9638599434 Reassigns benefits to 1 organization
I20230329000928 LA Practitioner - Anesthesiology 9638599434 Reassigns benefits to 1 organization
I20230828001878 AZ Practitioner - Pain ManagementPractitioner - Anesthesiology 9638599434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-0686IDMDAnesthesiology Physician
330512LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Greater Anesthesia Solutions Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Boise Anesthesia, P a Anesthesiology CurrentSince Nov 16, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Mountain View Pain Specialists CurrentSince Sep 11, 2023 Accepting new patients
Boise Anesthesia, PA Anesthesiology CurrentSince Nov 16, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Mountain View Pain Center Past Accepting new patients

Locations

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6622 N 91st Ave
Ste 230
Glendale, AZ 85305
Phone (602) 325-2024

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

900 N Liberty St
Ste 450
Boise, ID 83704
Phone (208) 367-7431

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: sjaszkowiak1563793@direct.trinity-health.org
  • Direct secure messaging: stephen.jaszkowiak@3675.securemail.prognocis.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1669765285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 230",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052570",
            "telephone_number": "602-325-2024",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Knight Lane",
            "address_2": "BLDG H Navy Medicine Support Command",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322120140",
            "country_code": "US",
            "telephone_number": "719-964-6645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 W Esplanade Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652467",
            "country_code": "US",
            "telephone_number": "504-464-8284",
            "fax_number": "504-464-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASZKOWIAK",
        "first_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "330512",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "O-0686",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.