ARIZONA WELLNESS ANESTHESIA GROUP, INC (NPI# 1265696124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265696124 |
| Entity Type | Organization |
| Organization Name | ARIZONA WELLNESS ANESTHESIA GROUP, INC |
| Practice Address |
6005 S 36th St Phoenix AZ 85042-4901 |
| Practice Telephone | 6025955145 |
| Practice Fax Number | 6025955302 |
| Mailing Telephone | 6025955145 |
| Mailing Fax Number | 6025955302 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | IGOR KRAVCHENKO (OWNER) |
| Authorized Official Telephone | 6025955145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 37002 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 354648 | 05 |
| Street Address |
6005 S 36TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164931754 | Take Back Your Life Weight Loss Solutions, LLC | Family Medicine | 6005 S 36th St, Phoenix, AZ 85042-4901 | 2017-09-26 |
| 1609024025 | Andria Orlowski | Naturopath | 6005 S 36th St, Phoenix, AZ 85042-4901 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609434331 | Southwest Matrix Anesthesia Pllc | Anesthesiology | 10810 N Tatum Blvd Ste 102302, Phoenix, AZ 85028-0503 | 2019-05-29 |
| 1477036051 | Cloud Anesthesia Pllc | Anesthesiology | 13835 N Tatum Blvd Ste 9339, Phoenix, AZ 85032-0409 | 2018-09-11 |
| 1225514888 | Fortitude Healthcare, LLC | Anesthesiology | 5133 N Central Ave Ste 204, Phoenix, AZ 85012-1438 | 2018-07-17 |
| 1558858712 | Union Hills Pain Partners LLC | Anesthesiology | 4727 E Union Hills Dr Ste 300, Phoenix, AZ 85050-3387 | 2018-04-13 |
| 1639670235 | Lee Weiss Md, Pllc | Anesthesiology | 20950 N Tatum Blvd Ste 220, Phoenix, AZ 85050-4252 | 2018-02-28 |
| 1821503582 | Cloud 9 Anesthesiology Associates, LLC | Anesthesiology | 7010 E Chauncey Ln Ste 215, Phoenix, AZ 85054-3117 | 2017-12-04 |
| 1851802631 | Coasterra Anesthesia LLC | Anesthesiology | 3219 E Camelback Rd Ste 272, Phoenix, AZ 85018-2307 | 2017-10-19 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1043732803 | Matrix Management LLC | Anesthesiology | 19820 N 7th Ave Ste 230h, Phoenix, AZ 85027-4785 | 2017-07-13 |
| 1841728276 | Radius Anesthesia of Arizona Pllc | Anesthesiology | 300 W Clarendon Ave Ste 230, Phoenix, AZ 85013-3479 | 2017-05-30 |
| Find all providers in PHOENIX | ||||
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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.