Pine View Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PINE VIEW ANESTHESIA PLLC

Practice address

807 S Ponderosa St
Payson, AZ 85541-5542

Phone

(602) 273-6770

Fax

(602) 889-0483

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By 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

Rodney Moffett, CRNA

Title

Sole Member

Phone

(602) 273-6770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1912280900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PONDEROSA ST",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415542",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "602-273-6770",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Sage Pearce
• Phoenix Vamc
• Physiotherapy Associates, Inc. (Physiotherapy Associates)
• Catherine Ann Pickering Opfergelt, P.T.
• Pine Creek Mental Health Clinic
• Amalia D Pineres, MD
• Ponderosa Family Care, LLC
• Ponderosa Family Care, LLC
• Preferred Women's Care
• Joshua Lee Price, F.N.P.

• Certified Registered Nurse Anesthetist in Payson, AZ
• Providers in Payson, 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 Sep 26, 2011; 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.