Active NPI
Cavanagh Anesthesia LTD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1689626624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- CAVANAGH ANESTHESIA LTD
- Practice address
- 300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449 - Phone
- (209) 956-7732
- Fax
- (602) 234-3748
- NPI assigned
- May 17, 2006
- 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
- Harry J Cavanagh Jr., M.D.
- Title
- Owner
- Phone
- (602) 600-6592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Mailing address
PO Box 36680
Phoenix, AZ 85067-6680
Phone (602) 234-1803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226940 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
4611 E Shea Blvd
Ste 230
Phoenix, AZ 85028
Phone (602) 513-8133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1689626624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36680",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850676680",
"telephone_number": "602-234-1803",
"fax_number": "602-234-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 142",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133449",
"telephone_number": "209-956-7732",
"fax_number": "602-234-3748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAVANAGH ANESTHESIA LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "CAVANAGH",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-600-6592",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226940",
"state": "AZ"
}
],
"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 Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.