MOUNTAIN WEST ANESTHESIA PLLC (NPI# 1144748906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144748906 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN WEST ANESTHESIA PLLC |
| Practice Address |
20940 N Tatum Blvd Ste 100 Phoenix AZ 85050-7259 |
| Mailing Address |
6728 E Grandview Dr Scottsdale AZ 85254-5668 |
| Practice Telephone | 4805024000 |
| Mailing Telephone | 4805452610 |
| Mailing Fax Number | 4805452673 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | SORINA KING (BILLING MANAGER) |
| Authorized Official Telephone | 4805452610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA0763 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20940 N TATUM BLVD STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453408 | Kevin L Olena Crna, Pllc | Nurse Anesthetist, Certified Registered | 3432 E Georgia Ave, Phoenix, AZ 85018-1501 | 2019-12-04 |
| 1144863549 | As Needed Anesthesia | Nurse Anesthetist, Certified Registered | 4045 E Bell Rd Ste 127, Phoenix, AZ 85032-2234 | 2019-10-18 |
| 1740831775 | Jared Thirjung | Nurse Anesthetist, Certified Registered | 1718 W Colter St Unit 172, Phoenix, AZ 85015-2955 | 2019-09-20 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1477922649 | Cody Birch | Nurse Anesthetist, Certified Registered | 1701 E Colter St Unit 358, Phoenix, AZ 85016-3385 | 2015-09-17 |
| 1073878724 | Jeremy Morales Cachola | Nurse Anesthetist, Certified Registered | 1823 W Sierra Sunset Trl, Phoenix, AZ 85085-8079 | 2012-07-09 |
| 1821377607 | Daniel Justin Chow | Nurse Anesthetist, Certified Registered | 10810 N Tatum Blvd Ste 102718, Phoenix, AZ 85028-6055 | 2011-08-10 |
| 1952638231 | Christol D. Williams | Nurse Anesthetist, Certified Registered | 15251 S 50th St, #2053, Phoenix, AZ 85044-9104 | 2009-11-08 |
| 1366776247 | Ali James Baghai | Nurse Anesthetist, Certified Registered | 15210 N 44th Pl, Phoenix, AZ 85032-4872 | 2009-09-25 |
| 1629229570 | Phuangusar Iamrod | Nurse Anesthetist, Certified Registered | 4712 E Thunderhill Pl, Phoenix, AZ 85044-4902 | 2008-10-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.