Organization Active NPI

Atlas Anesthesia

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1750768099
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34938 Issued in AZ
Legal business name
ATLAS ANESTHESIA
Practice address
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone
(480) 256-1518
Fax
(480) 478-6628
NPI assigned
May 6, 2015
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Ricardo Verdiner, M.D.
Title
Owner
Phone
(480) 256-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 34938 AZ Primary

Addresses

Primary practice location

1930 E Thomas Rd
Phoenix, AZ 85016-7711

Mailing address

8424 E Shea Blvd
#101
Scottsdale, AZ 85260-6662
Phone (480) 256-1518

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

National Provider Directory

National Provider Directory

Locations

18301 N 79th Ave
Ste 150
Glendale, AZ 85308
Phone (480) 256-1520

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1750768099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 E SHEA BLVD",
            "address_2": "#101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606662",
            "telephone_number": "480-256-1518",
            "fax_number": "480-478-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167711",
            "telephone_number": "480-256-1518",
            "fax_number": "480-478-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "VERDINER",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-256-1518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "34938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "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 Jul 27, 2015; 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.