Active NPI
Moon Valley Anesthesiologists, LTD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1679509186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4783
- Legal business name
- MOON VALLEY ANESTHESIOLOGISTS, LTD
- Practice address
- 7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Jun 25, 2006
- Last updated
- Aug 17, 2010
- 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
- Shannon White
- Title
- Ofice Manager
- Phone
- (602) 443-2325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4783 | AZ | Primary |
Addresses
Primary practice location
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Mailing address
PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1679509186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699179",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOON VALLEY ANESTHESIOLOGISTS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OFICE MANAGER",
"authorized_official_telephone_number": "602-443-2325"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "4783",
"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 Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.