OPHTHALMIC ANESTHESIA SERVICES, INC (NPI# 1477897668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477897668 |
| Entity Type | Organization |
| Organization Name | OPHTHALMIC ANESTHESIA SERVICES, INC |
| Practice Address |
4800 N 22nd St Phoenix AZ 85016-4701 |
| Practice Telephone | 6029551000 |
| Practice Fax Number | 6025084830 |
| Mailing Telephone | 6029551000 |
| Mailing Fax Number | 6025084830 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | ALLAN FROMMERT (SOLE OWNER) |
| Authorized Official Telephone | 6233320606 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4800 N 22ND ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130402 | Jack Owens Sipperley | Ophthalmology | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2005-08-10 |
| 1679120968 | Evelyn Valenzuela | Technician/Technologist | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2019-08-21 |
| 1437588282 | Integrated Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2013-11-02 |
| 1063852259 | Joshua Perkins | Optometrist | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2013-07-02 |
| 1447690607 | Alison Domenica Kitzerow | Optometrist | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2013-07-02 |
| 1710239751 | Grant Harris Moore | Ophthalmology | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2012-10-14 |
| 1477814739 | Mahmood El-gasim | Ophthalmology | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2012-06-04 |
| 1538432844 | Barnet Dulaney Perkins Eye Center II Pllc | Clinic/Center | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2012-02-16 |
| 1659641462 | Integrated Eye Care Network | Health Maintenance Organization | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2012-01-10 |
| 1245510379 | Kacey Jane Gilford | Optometrist | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2011-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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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 |
| 1144748906 | Mountain West Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 20940 N Tatum Blvd Ste 100, Phoenix, AZ 85050-7259 | 2017-08-31 |
| 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 |
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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.