Jacob R Bradshaw (NPI# 1447670385, PAC ID# 4981943917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1447670385 |
| PAC ID by PECOS | 4981943917 |
| Professional Enrollment ID | I20190308000580 |
| Full Name | Jacob R Bradshaw |
| Organization Legal Name | ANESTHESIA PARTNERS OF ARIZONA LLC |
| Address |
2000 E Southern Ave Suite 105 Tempe AZ 85282-7510 |
| Phone Number | 4699987443 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8628317179 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030065 | BANNER DESERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 | 4699987443 | ANESTHESIA PARTNERS OF ARIZONA LLC |
| Organization Legal Name | ANESTHESIA PARTNERS OF ARIZONA LLC |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher K Williams | Anesthesiology | Anesthesia Partners of Arizona LLC | 7330 N 16th St, Suite A200, Phoenix, AZ 85020-5295 |
| John G Meernik | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Peter M Waterman | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Keith E Reitzel | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Yasmin B Amin | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Mark Stamowlaros | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Deanna K Villalino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Robert L Thomas | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Marie Anne D Gue | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| James Peyton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Street Address |
2000 E SOUTHERN AVE SUITE 105 |
| City | TEMPE |
| State | AZ |
| Zip | 85282-7510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John G Meernik | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Peter M Waterman | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Keith E Reitzel | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Yasmin B Amin | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Mark Stamowlaros | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Deanna K Villalino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Robert L Thomas | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Marie Anne D Gue | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| James Peyton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Beemeth Robles | Anesthesiology | Anesthesia Partners of Arizona LLC | 2000 E Southern Ave, Suite 105, Tempe, AZ 85282-7510 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith K Moore | Chiropractic | 2200 S Rural Rd, Tempe, AZ 85282-1411 | |
| Jennie E Nelson | Chiropractic | 2226 S Rural Rd, Tempe, AZ 85282-1411 | |
| Jordan F.w. Ball | Chiropractic | 2200 S Rural Rd, Ball Chiropractic, Tempe, AZ 85282-1411 | |
| Valerie A Soler | Certified Registered Nurse Anesthetist (crna) | Soler Anesthesia | 1232 E Broadway, Suite 205, Tempe, AZ 85282-1509 |
| James G Soler | Certified Registered Nurse Anesthetist (crna) | Soler Anesthesia | 1232 E Broadway, Suite 205, Tempe, AZ 85282-1509 |
| Jonathan R Fox | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1535 |
| Thomas C Fiel | Family Medicine | Bhsm Rehabilitation, LLC | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1535 |
| Kristin M Sibilia | Physical Therapy | Bhsm Rehabilitation, LLC | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1535 |
| Matthew Leon Angier | Physical Therapy | Bhsm Rehabilitation, LLC | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1535 |
| Kayla Marie Zinger | Physical Therapy | Bhsm Rehabilitation, LLC | 1025 E Broadway Rd, Suite 101, Tempe, AZ 85282-1535 |
| Find all physicians in zip 85282 | |||
| City | TEMPE |
| Zip Code | 85282 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TEMPE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jacob R Bradshaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.