Mission Anesthesia Group LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MISSION ANESTHESIA GROUP LLC

Doing business as

Mission Anesthesia Group LLC

Practice address

6424 E Broadway Rd Ste 102
Mesa, AZ 85206-1750

Phone

(480) 634-4606

Fax

(480) 452-0582

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Brandie Hernandez

Title

Director of Operations

Phone

(480) 634-4606

Specialties & licenses 1

Addresses

Other names 1

• Mission Anesthesia Group LLC Doing business as

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1700442712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-634-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-634-4606",
            "fax_number": "480-452-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-634-4606"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Anesthesia Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott L Miritello, D.C.
• Courtlyn Mirza, RN
• Medo Mirza, MD, PHD
• Stacey Misaray-Deliot
• Teresa Marie Misch, PTA
• Karishma Jayesh Mistry, OD
• Alice Lynn Mitchell, RNFA
• Cassie M. Mitchell, PHD, RD
• James T Mitchell, NP
• Janell R Mitchell, D.C.

• Health Service Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.