Phoenix Anesthesia Specialists, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PHOENIX ANESTHESIA SPECIALISTS, LLC

Practice address

1615 Petroglyph Point Dr
Prescott, AZ 86301-6539

Phone

(325) 660-5535

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Poppy Walker

Title

Business Office Manager

Phone

(325) 660-5535

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1932733565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 W WHISPERING WIND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102908",
            "telephone_number": "325-660-5535",
            "fax_number": "325-692-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PETROGLYPH POINT DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016539",
            "telephone_number": "325-660-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ANESTHESIA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "POPPY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "325-660-5535"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MRSCLAIMS@PROTONMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "PRACTICE LOCATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1615 Petroglyph Point Dr",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863016539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ha Le Pham, PA-C
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• Lisa Phillips, RD
• Rose Steeg Phillips, MA, LMFT
• Phoenix Cardiac Surgery
• Physician Business Services LLC
• Physician Business Services, LLC
• Pia'S Place
• Marek Z Piatek, MD

• Certified Registered Nurse Anesthetist in Prescott, AZ
• Providers in Prescott, 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 Dec 9, 2020; 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.