Active NPI
Emily Ann Hattrup, M.D.
- Anesthesiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 49120
- Practice address
- 1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527 - Phone
- (602) 262-8900
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R72204 | AZ | |
| Anesthesiology Physician | 207L00000X | 49120 | AZ | Primary |
Addresses
Primary practice location
1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-4527
Mailing address
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Arizona College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4605 E Elwood St
Suite 500
Phoenix, AZ 85040-1978
Phone (602) 200-9021
Hospital & facility affiliations
- Arizona Orthopedic and Surgical Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49120 | AZ | MD | Anesthesiology Physician |
| R72204 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
Locations
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1679884332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "SUITE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044527",
"telephone_number": "602-262-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTRUP",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "R72204",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "49120",
"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 Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.