DR. KENNETH THERIOT (NPI# 1114177664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114177664 |
| Entity Type | Individual |
| Full Name | DR. KENNETH THERIOT |
| Credential | M.D. |
| Practice Address |
4002 E Main St Ste 1 Mesa AZ 85205-8612 |
| Mailing Address |
18827 E Swan Dr Queen Creek AZ 85142-5314 |
| Practice Telephone | 4803245421 |
| Practice Fax Number | 4803245459 |
| Mailing Telephone | 4802758886 |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 44415 | AZ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2008015177 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4002 E MAIN ST STE 1 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1447851290 | Performance Ultrasound and Intervention, Pllc | Anesthesiology | 8427 E Baseline Rd Ste 101, Mesa, AZ 85209-4381 | 2020-11-06 |
| 1184232860 | Precision Anesthesia LLC | Anesthesiology | 5235 E Southern Ave Ste D106-448, Mesa, AZ 85206-3626 | 2020-07-17 |
| 1346704210 | Concierge Anesthesia Services, Pllc | Anesthesiology | 8405 E Vista Canyon Cir, Mesa, AZ 85207-1469 | 2019-01-24 |
| 1750816633 | Barry Barton Md Pllc | Anesthesiology | 3051 E Hackamore St, 3051 E Hackamore St, Mesa, AZ 85213-5562 | 2017-04-27 |
| 1154647378 | James Dellaripa, Md Pllc | Anesthesiology | 1400 S Dobson, Mesa, AZ 85202-4707 | 2010-04-13 |
| 1982893053 | Robert S. Gerson Md PC | Anesthesiology | 7130 E Saddleback St, #16, Mesa, AZ 85207-1038 | 2007-10-15 |
| 1538364120 | Toure Ali Knighton | Anesthesiology | 7233 E Baseline Rd Ste 127, Mesa, AZ 85209-5007 | 2007-06-15 |
| 1548356975 | Gregory J Wong | Anesthesiology | 6247 E. Main St Suite 8, Mesa, AZ 85205 | 2006-10-05 |
| 1245344639 | Joseph J Kryc | Anesthesiology | 4002 E Main St, Ste1, Mesa, AZ 85205-8612 | 2006-08-19 |
| 1841304235 | Ashimava Chakladar | Anesthesiology | 4002 E Main Street, Suite 1, Mesa, AZ 85205 | 2006-08-19 |
| Find all providers in MESA | ||||
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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.