OLD TOWN ANESTHESIA (NPI# 1538661681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538661681 |
| Entity Type | Organization |
| Organization Name | OLD TOWN ANESTHESIA |
| Practice Address |
2629 N Scottsdale Rd Scottsdale AZ 85257-1370 |
| Mailing Address |
4300 N Miller Rd Ste 240 Scottsdale AZ 85251-3639 |
| Practice Telephone | 4803067227 |
| Practice Fax Number | 4803067238 |
| Mailing Telephone | 4803067227 |
| Mailing Fax Number | 4803067238 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | DR. MICHAEL CORMIER (MANAGING MEMBER) |
| Authorized Official Telephone | 4803067227 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2629 N SCOTTSDALE RD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85257-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255681730 | Arrowhead Family Health Center PC | Durable Medical Equipment & Medical Supplies | 2629 N Scottsdale Rd, Suite 200, Scottsdale, AZ 85257-1370 | 2012-09-12 |
| 1023653979 | Saulner Probill, LLC | Orthopaedic Surgery | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2019-11-14 |
| 1932744885 | Ribera Asc, LLC | Surgery | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2019-11-14 |
| 1982261186 | Kristine Fletcher | Nurse Practitioner | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2019-05-22 |
| 1841792983 | Scottsdale Pain Solutions LLC | Clinic/Center | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2018-03-05 |
| 1538661673 | Old Town Pain Professionals LLC | Clinic/Center | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2018-03-05 |
| 1003324856 | Arcadia Commons Surgery Center, LLC | Clinic/Center | 2629 N Scottsdale Rd, Scottsdale, AZ 85257-1370 | 2018-01-15 |
| 1275978876 | Armen Derian | Anesthesiology | 2629 N Scottsdale Rd, Scottsdale, AZ 85257 | 2013-05-08 |
| 1053653600 | Del Anesthesia Services, LLC | Clinic/Center | 2629 N Scottsdale Rd, Suite 101, Scottsdale, AZ 85257-1370 | 2013-03-21 |
| 1932441938 | Surgical Centers of Arizona, LLC | Clinic/Center | 2629 N Scottsdale Rd, 101, Scottsdale, AZ 85257-1370 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
| 1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
| 1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
| 1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
| 1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
| 1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
| 1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
| 1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
| Find all providers in zip 85257 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with 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 |
|---|---|---|---|---|
| 1043832223 | Desert Anesthesia Specialists LLC | Anesthesiology | 8865 E Bell Rd Ste 101, Scottsdale, AZ 85260-1594 | 2020-05-11 |
| 1891344958 | Orion Pain Corp | Anesthesiology | 16700 N Thompson Peak Pkwy Ste 170, Scottsdale, AZ 85260-2386 | 2019-09-10 |
| 1558826438 | Agave Anesthesia LLC | Anesthesiology | 5533 E Bell Rd Ste 111, Scottsdale, AZ 85254-1256 | 2019-02-05 |
| 1164916953 | Orion Pain Physicians Pllc | Anesthesiology | 10133 N 92nd St., Suite 102, Scottsdale, AZ 85258-4805 | 2018-06-15 |
| 1497153944 | Pain Centers of America, LLC | Anesthesiology | 9100 East Raintree Drive, Suite 248, Scottsdale, AZ 85260 | 2014-12-16 |
| 1649600230 | Multispecialty Group of Arizona LLC | Anesthesiology | 9382 E Bahia Dr, Ste B202, Scottsdale, AZ 85260-1580 | 2013-11-18 |
| 1124246921 | Minesh Ramesh Zaveri | Anesthesiology | 9500 E. Ironwood Square Drive, Suite 125, Scottsdale, AZ 85258-4582 | 2007-04-24 |
| 1952346744 | Advanced Pain Specialists | Anesthesiology | 8865 E. Bell Rd, Suite #101, Scottsdale, AZ 85260-1502 | 2006-06-17 |
| 1376538496 | Mark Jonathan Rubin | Anesthesiology | 9015 E Pima Center Pkwy, Suite 1, Scottsdale, AZ 85258-4613 | 2005-09-14 |
| 1447866249 | Navmed | Anesthesiology | 4400 N Scottsdale Rd Ste 9-332, Scottsdale, AZ 85251-3331 | 2020-09-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85257 |
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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.