ABC ANESTHESIOLOGISTS PLLC (NPI# 1184662884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184662884 |
| Entity Type | Organization |
| Organization Name | ABC ANESTHESIOLOGISTS PLLC |
| Other Organization Name | RED MOUNTAIN ANESTHESIOLOGISTS |
| Practice Address |
10204 W Happy Valley Pkwy Ste 160b Peoria AZ 85383-2880 |
| Mailing Address |
6247 E. Main Street Suite 8 Mesa AZ 85205 |
| Practice Telephone | 4806314800 |
| Practice Fax Number | 4806314801 |
| Mailing Telephone | 4809819151 |
| Mailing Fax Number | 4809810527 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | DR. GREGORY J WONG (DELEGATE) |
| Authorized Official Telephone | 4809819151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 518318 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Wellness and Pain | Doing Business As Name - Organization |
| Red Mountain Anesthesiologists | Doing Business As Name - Organization |
| Street Address |
10204 W HAPPY VALLEY PKWY STE 160B |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| 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 |
|---|---|---|---|---|
| 1871835793 | Robert Thompson Myers | Anesthesiology | 10303 N Spring Ln, Peoria, IL 61615-1349 | 2013-03-18 |
| 1528334729 | Deepak Raj Sharma | Anesthesiology | 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 | 2012-04-01 |
| 1093971574 | Adam Todd Kramer | Anesthesiology | 13090 N 94th Dr Ste 212, Peoria, AZ 85381-4258 | 2008-08-04 |
| 1134321540 | Drew Mark Davenport | Anesthesiology | 12874 W Dove Wing Way, Peoria, AZ 85383-2491 | 2007-06-05 |
| 1386784155 | Eric Hawkins | Anesthesiology | 22i Ne Glen Oak Ave, Methodist Medical Center Anesthesiology, Peoria, IL 61636-0001 | 2007-02-08 |
| 1518918978 | Caridad Bravo-fernandez | Anesthesiology | 15262 N. 75th Avenue, Suite 400 Pain Solution Center, LLC, Peoria, AZ 85381-4762 | 2006-05-12 |
| 1245208685 | Anesthesia Specialties Alliance, S.c. | Anesthesiology | 7309 N. Knoxville Ave., Peoria, IL 61614 | 2006-03-10 |
| 1073501359 | Jeremy L Krock | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-11 |
| 1700424363 | Comet Anesthesia LLC | Anesthesiology | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-12-13 |
| 1265088801 | Pinnacle Anesthesia Consultants LLC | Anesthesiology | 2419 W Cornerstone Ct, Peoria, IL 61614-2529 | 2019-08-09 |
| Find all providers in PEORIA | ||||
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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.