Ivy Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

IVY ANESTHESIA LLC

Practice address

7303 E la Junta Rd
Scottsdale, AZ 85255-2806

Phone

(480) 425-2160

Fax

(480) 351-8797

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Sameh A Assad, MD

Title

Physician

Phone

(480) 425-2160

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1700434347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41150",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852741150",
            "telephone_number": "480-425-2160",
            "fax_number": "480-351-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 E LA JUNTA RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552806",
            "telephone_number": "480-425-2160",
            "fax_number": "480-351-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "ASSAD",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-425-2160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "34025",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• IV Revival Services PLLC
• Marina Ivanov
• Nicole Ivey
• Vara Ivezaj, FNP
• Ivory Lane LLC
• Cynthia C Ivy, O.T.
• Chijioke Chris Iwuchukwu, MD
• Nikhil K Iyengar, MD
• Tara Iyengar, M.D.
• Vivek Iyer, M.D.

• Anesthesiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.