James M Iverson (NPI# 1235645862, PAC ID# 5395007256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1235645862 |
| PAC ID by PECOS | 5395007256 |
| Professional Enrollment ID | I20180313001773 |
| Full Name | James M Iverson |
| Organization Legal Name | LEGACY ANESTHESIA LLC |
| Address |
2000 W Bethany Home Rd Phoenix AZ 85015-2443 |
| Phone Number | 4802094000 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0143553917 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030022 | MARICOPA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16620 N 40th St, Suite D1, Phoenix, AZ 85032-3350 | 4805657246 | LEGACY ANESTHESIA LLC |
| 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 4802094000 | LEGACY ANESTHESIA LLC |
| 2601 E Rooosevelt St, Phoenix, AZ 85008-4973 | 6023441015 | DISTRICT MEDICAL GROUP INC |
| Organization Legal Name | LEGACY ANESTHESIA LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin D Williams | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Aaron L Whitley | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Shaun K Ferrie | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Scott C Hendrickson | Anesthesiology | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Michael A Dagley | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber, UT 84032-3522 |
| Brandon Howell | Certified Registered Nurse Anesthetist (crna) | Legacy Anesthesia LLC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Anthony C Harward | Certified Registered Nurse Anesthetist | Legacy Anesthesia LLC | 1485 S Hwy 40, Heber City, UT 84032-3522 |
| Street Address |
2000 W BETHANY HOME RD |
| City | PHOENIX |
| State | AZ |
| Zip | 85015-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tahir Alkhairy | Diagnostic Radiology | Radadvantage A Professional Corporation | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Christopher A Lipinski | Emergency Medicine | Emergency Group of Arizona Professional Corporation | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2110 |
| Mohammad A Abdulrasool | Hospitalist | Cogent Healthcare of Arizona PC | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Ronald S Chamberlain | General Surgery | Vhs Outpatient Clinics Inc | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| William Michael Jaffe | Cardiovascular Disease (cardiology) | Vhs Outpatient Clinics Inc | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Shalini R Agarwal | Diagnostic Radiology | Radadvantage A Professional Corporation | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Jamie Lee Boma | Physician Assistant | Vhs Outpatient Clinics Inc | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 |
| Shantall V Hall | Emergency Medicine | Emergency Group of Arizona Professional Corporation | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2110 |
| Nasrin Ghalyaie | Colorectal Surgery (proctology) | Vhs Outpatient Clinics Inc | 2000 W Bethany Home Rd, Suite 200, Phoenix, AZ 85015-2443 |
| Jeffrey D Sweatlock | Anesthesiology | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Peters | Ophthalmology | Nationwide Vision Center, Inc. | 2222 E Camelback Rd, Suite 250, Phoenix, AZ 85015 |
| Kenneth Irwin Levy | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Morton H Dubnow | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Lester A Epstein | Endocrinology | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Stanley L Combs | Internal Medicine | Geriatric Specialties of Arizona PC | 6838 N 23rd Ave, Phoenix, AZ 85015-1056 |
| Garo Harmanian | Family Medicine | 6701 N 19th Ave, Phoenix, AZ 85015-1102 | |
| Sylvia C Gutierrez | Family Medicine | 6707 N 19th Ave, Suite 104, Phoenix, AZ 85015-1105 | |
| Arthur J Tallis | Podiatry | Associated Foot and Ankle Specialists Plc | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1105 |
| Verlan T Marshall | Podiatry | Associated Foot and Ankle Specialists Plc | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1105 |
| Eric Duquella | Gastroenterology | Clinical Associates In Internal Medicine, Ltd | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1106 |
| Find all physicians in zip 85015 | |||
| City | PHOENIX |
| Zip Code | 85015 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PHOENIX + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on James M Iverson.
| 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.