Organization Active NPI

Aurora Anesthesia Associates LLC

  • Anesthesiology Physician
  • Flagstaff, AZ
National Provider Identifier
1861161572
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AURORA ANESTHESIA ASSOCIATES LLC
Practice address
1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
Phone
(928) 395-3296
Fax
(928) 395-4007
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Vicki Belt
Title
Owner
Phone
(602) 527-0791

Specialties & licenses 1

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

Addresses

Primary practice location

1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217

Mailing address

1254 W University Ave Ste 130
Flagstaff, AZ 86001-7217
Phone (928) 395-3296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221110001577 AZ Part B Supplier - Clinic/Group Practice 1658748207 Receives reassigned benefits from 4 practitioners
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1861161572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296",
            "fax_number": "928-395-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 W UNIVERSITY AVE STE 130",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017217",
            "telephone_number": "928-395-3296",
            "fax_number": "928-395-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BELT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-527-0791"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.