NPIMap

Individual provider Active NPI

Anna Lea Huguenard, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1760833792
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
72176 Issued in AZ
Practice address
2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone
(602) 406-3489
Fax
(602) 406-4402
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2020033506 MO
Neurological Surgery Physician 207T00000X 72176 AZ Primary

Addresses

Primary practice location

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (602) 406-3489

Other identifiers 2

IdentifierTypeStateIssuer
200062811MedicaidMO
187019MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000263 MO Practitioner - Neurosurgery 4486014800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

100 Entrance Way
Saint Peters, MO 63376-1645
Phone (363) 916-7140

4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 362-3570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72176AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Jewish Hospital Past Accepting new patients
Washington University Past Accepting new patients
Dignity Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: anna.huguenard.1@31799.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1760833792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3489",
            "fax_number": "602-406-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3489",
            "fax_number": "602-406-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGUENARD",
        "first_name": "ANNA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2020033506",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "72176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062811",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.