Angelus Anesthesia LTD

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ANGELUS ANESTHESIA LTD

Practice address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7881

Phone

(928) 368-8118

Fax

(928) 368-8121

NPI assigned

Feb 6, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann AndersonNPI 1700859162

Title

Crna

Phone

(928) 368-8118

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joann Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Show Low, AZ
  • NPI 1700859162
  Authorized official Same address or phone

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1902878689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1745",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859291745",
            "telephone_number": "928-368-8118",
            "fax_number": "928-368-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017881",
            "telephone_number": "928-368-8118",
            "fax_number": "928-368-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELUS ANESTHESIA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "928-368-8118"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpha and Omega Physical Therapy Acc
• Keith Zarahi Amaral, MD
• Joann Anderson, CRNA
• Anesthesia Consultants of Northern Arizona LLC
• Jane Elizabeth Angell, MSW LCSW
• John Richard Antoni, P.T.
• Arizona Contact Lens Consultants PLLC
• Arizona Heart Institute Show Low
• Arizona Pain Specialists, PLLC
• Arizona Skin and Laser Therapy Institute, LTD

• Certified Registered Nurse Anesthetist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.