NPIMap

Organization Active NPI

Sierra Vista Group Anesthesia Services, LTD

  • Anesthesiology Physician
  • Sierra Vista, AZ
National Provider Identifier
1992037113
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13713 Issued in AZ
Legal business name
SIERRA VISTA GROUP ANESTHESIA SERVICES, LTD
Practice address
77 Calle Portal Ste B260A
Suite B260A
Sierra Vista, AZ 85635-2967
Phone
(520) 515-9751
Fax
(520) 515-9786
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
James Buttke, MD
Title
President
Phone
(520) 515-9751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 13713 AZ Primary

Addresses

Primary practice location

77 Calle Portal Ste B260A
Suite B260A
Sierra Vista, AZ 85635-2967

Mailing address

77 Calle Portal Ste B260A
Suite B260A
Sierra Vista, AZ 85635-2967
Phone (520) 515-9751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1992037113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE PORTAL STE B260A",
            "address_2": "SUITE B260A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352967",
            "telephone_number": "520-515-9751",
            "fax_number": "520-515-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA GROUP ANESTHESIA SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "BUTTKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-515-9751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "13713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.