Prescott Anesthesia PLLC
Organization Active NPI Anesthesiology Physician · Prescott, AZ
NPI 1962409185 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1962409185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- PRESCOTT ANESTHESIA PLLC
- Practice address
- 1003 Willow Creek Rd
Prescott, AZ 86301-1641 - Phone
- (928) 771-5393
- Fax
- (928) 771-5274
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul L Braithwaite, DO
- Title
- Administrative Member
- Phone
- (928) 771-5232
Practitioners 29
-
Daniel J Beck, M.D.
-
Jay S Goswick, DO
-
Ian M Magonigal, MD
-
Kevin K Vakili, MD
-
Samuel Eis, DO
-
Thomas Kyler, MD
-
Kyle L. Carter, M.D.
-
C Patrick Beatty, M.D.
-
Robert Campbell, DO
-
Kim David Chen, D.O.
-
Harald Gutgsell, MD
-
John G. Holm, M.D.
-
Jeffrey Jacques, D.O.
-
Martin Joseph Leidinger, M.D.
-
George Sara, M.D.
-
Alan Craig Schold, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040327000221 | AZ | Part B Supplier - Clinic/Group Practice | 4385536929 |
Receives reassigned benefits from 16 practitioners Practice locations: Prescott, AZ; Prescott Valley, AZ |
National Provider Directory
Locations
811 Ainsworth Dr
Ste 101
Prescott, AZ 86301
Phone (520) 771-5282
811 Ainsworth Dr
Prescott, AZ 86301
Phone (928) 771-5282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | AZ | Yes |
Addresses
Primary practice location
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Mailing address
2425 W Bard Ranch Rd
Prescott, AZ 86305-4706
Phone (928) 771-5232
Other names
- Prescott Anesthesia LLC
Other providers in Prescott, AZ
- Practical Development
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- Precision Spinal Care PLLC
- Prescott Addiction Recovery Center LLC
- Prescott Addiction Recovery Center LLC
- Prescott Area Recovery Centers
- Prescott Cardiology, PC
- Prescott Community Counseling
- Prescott Complete Care, PLLC
- Prescott Concierge Care PLLC
All providers in Prescott, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.