Active NPI
Desert Anesthesia Services, LLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1750013223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DESERT ANESTHESIA SERVICES, LLC
- Practice address
- 7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336 - Phone
- (602) 395-0718
- Fax
- (602) 277-8146
- NPI assigned
- Jun 24, 2022
- Last updated
- Aug 23, 2022
- 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
- Vanessa Koziol
- Title
- Credentialing
- Phone
- (602) 395-0718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336
Mailing address
7600 N 15TH St Ste 290
Phoenix, AZ 85020-4336
Phone (602) 395-0718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PEND | Other | PEND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@eamedbill.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Glendale, AZ
- NPI 1750365094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1750013223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 N 15TH ST STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204336",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 15TH ST STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204336",
"telephone_number": "602-395-0718",
"fax_number": "602-277-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT ANESTHESIA SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-24",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "KOZIOL",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "602-395-0718"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEND",
"identifier": "PEND",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@eamedbill.com",
"affiliation": "N",
"address_1": "7600 N 15th St Ste 290",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850204336",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
- Yash Desai, DO
- Jeffrey R Desanto, M.D.
- Isabella Desbarres
- Peter David Lagman Descallar
- Mary M Desch, MD
- Desert Anesthesia Specialists LLC
- Desert Anesthesiologists LTD (Hermineo Mendoza MD)
- Desert Breeze Home Health, LLC
- Desert Breeze of Management Group LLC (Desert Breeze of Ahwatukee)
- Desert Breeze Transportation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.