Matrix Integrated Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MATRIX INTEGRATED ANESTHESIA LLC

Practice address

4566 E Inverness Ave Ste 208
Mesa, AZ 85206-4634

Phone

(480) 993-1300

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Jenna Fisher

Title

Manager

Phone

(480) 993-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1760992135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CENTERVILLE ROAD",
            "address_2": "PMB 645",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-993-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX INTEGRATED ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-993-1300"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Mathien, DPT
• Cheryl S Mathis, LCSW, LSCSW
• Kimberly Marie Mathis, L.AC.
• Sumir Prasad Mathur
• Sean Cayabyab Matienzo, PHARM D.
• Ambar Matta, M.D.
• Ellen L Matta, CRNA
• Douglas Robert Matter, RPH
• Mark J. Mattern, M.D.
• Andre Charles Matthews, M.D.

• Anesthesiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.