ACACIA ANESTHESIA, PLLC (NPI# 1528258118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528258118 |
| Entity Type | Organization |
| Organization Name | ACACIA ANESTHESIA, PLLC |
| Practice Address |
1500 S Dobson Rd Suite 203 Mesa AZ 85202-4713 |
| Practice Telephone | 4805125737 |
| Practice Fax Number | 4805125486 |
| Mailing Telephone | 4805125737 |
| Mailing Fax Number | 4805125486 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | DR. EFREM MILLER (PARTNER) |
| Authorized Official Telephone | 4808447100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1500 S DOBSON RD SUITE 203 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057466 | Consultants In Urology, Ltd | Urology | 1500 S Dobson Rd, Suite 315, Mesa, AZ 85202-4713 | 2006-03-15 |
| 1801359005 | Kathleen Juarez | Registered Nurse | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2019-04-13 |
| 1740723907 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1500 S Dobson Rd, Suite 315, Mesa, AZ 85202-4713 | 2016-11-21 |
| 1265833834 | Trent R Tipton | Physician Assistant | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2014-09-15 |
| 1265757637 | Dale L Payne, Mdpc | Surgery | 1500 S Dobson Rd, Mesa, AZ 85202-4713 | 2010-03-29 |
| 1265767917 | Weigh Better Plc | Surgery | 1500 S Dobson Rd, Suite 312, Mesa, AZ 85202-4713 | 2009-10-14 |
| 1124273032 | Center for Colon and Rectal Diseases Plc | Specialist | 1500 S Dobson Rd, Suite 313, Mesa, AZ 85202-4713 | 2008-11-19 |
| 1235391657 | Maranatha Anesthesia, Pllc | Anesthesiology | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2008-06-26 |
| 1215124284 | Joel D Pavelonis Md PC | Anesthesiology | 1500 S Dobson Rd, Ste 203, Mesa, AZ 85202-4724 | 2007-10-03 |
| 1982725982 | Demetri N. Panayi, M.d., P.C. | Specialist | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1407310527 | Elite Anesthesia Care Pllc | Anesthesiology | 4808 E Moonlight Way, Paradise Valley, AZ 85253-2926 | 2019-01-23 |
| 1528396108 | District Medical Group, Inc | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2009-11-19 |
| 1093948275 | District Medical Group, Inc | Anesthesiology | 2601 E Roosevelt St, Dept of Anesthesia, Phoenix, AZ 85008-4973 | 2009-09-03 |
| 1902035785 | Cornel Mihalache | Anesthesiology | 3601 South 6th Avenue, Southern Arizona Va Health Care System, Tucson, AZ 85723 | 2009-07-14 |
| 1194993899 | Shiva Birdi | Anesthesiology | 2940 E Banner Gateway Dr, Suite 400, Gilbert, AZ 85234-2168 | 2008-02-15 |
| 1861513509 | Jasjeet Singh Somal | Anesthesiology | 19829 N 27th Ave, Phoenix, AZ 85069-1349 | 2007-04-02 |
| 1225014822 | Michelle R Aerni | Anesthesiology | 1850 N Central Ave Ste 1600, Valley Anesthesiology Consultants, Phoenix, AZ 85004-4633 | 2005-12-16 |
| 1134102908 | Bhavesh M Patel | Anesthesiology | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-25 |
| 1164405031 | Mohamed Y Rady | Anesthesiology | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-23 |
| 1285617472 | Joel S Larson | Anesthesiology | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-22 |
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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.