Active NPI
Louis John Carothers Jr., CRNA
- Certified Registered Nurse Anesthetist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 269411
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (623) 561-1000
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 269411 | AZ | Primary |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
2989 N 44TH St Unit 3013
Phoenix, AZ 85018-7310
Phone (856) 885-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 561-7102
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Abrazo West Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
Organizations & group practices 1
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 1124430244
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1740924067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 N 44TH ST UNIT 3013",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187310",
"telephone_number": "856-885-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087100",
"telephone_number": "623-561-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROTHERS",
"first_name": "LOUIS",
"middle_name": "JOHN",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "269411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.