GRAND CANYON ANESTHESIA LLC (NPI# 1356822902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356822902 |
| Entity Type | Organization |
| Organization Name | GRAND CANYON ANESTHESIA LLC |
| Practice Address |
2345 E Thomas Rd Ste 400 Phoenix AZ 85016 |
| Mailing Address |
110 29th Ave N Ste 201 Nashville TN 37203-1458 |
| Practice Telephone | 6023432900 |
| Mailing Telephone | 6153274304 |
| Mailing Fax Number | 6153277940 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | MICHELLE VAUGHN (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 6156206416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 426804 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 6023432900 |
| Street Address |
2345 E THOMAS RD STE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
| 1194325076 | Garrett Gleaves | Registered Nurse | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016-7862 | 2020-10-29 |
| 1831722263 | 3kingsaz, LLC | Specialist/Technologist, Other | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016-7862 | 2020-02-13 |
| 1790331254 | Jaime T Sanders | Registered Nurse | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016-7862 | 2019-08-12 |
| 1396208724 | Ja Mehlhaf Anesthesia LLC | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016-7862 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| 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 |
|---|---|---|---|---|
| 1609434331 | Southwest Matrix Anesthesia Pllc | Anesthesiology | 10810 N Tatum Blvd Ste 102302, Phoenix, AZ 85028-0503 | 2019-05-29 |
| 1477036051 | Cloud Anesthesia Pllc | Anesthesiology | 13835 N Tatum Blvd Ste 9339, Phoenix, AZ 85032-0409 | 2018-09-11 |
| 1225514888 | Fortitude Healthcare, LLC | Anesthesiology | 5133 N Central Ave Ste 204, Phoenix, AZ 85012-1438 | 2018-07-17 |
| 1558858712 | Union Hills Pain Partners LLC | Anesthesiology | 4727 E Union Hills Dr Ste 300, Phoenix, AZ 85050-3387 | 2018-04-13 |
| 1639670235 | Lee Weiss Md, Pllc | Anesthesiology | 20950 N Tatum Blvd Ste 220, Phoenix, AZ 85050-4252 | 2018-02-28 |
| 1821503582 | Cloud 9 Anesthesiology Associates, LLC | Anesthesiology | 7010 E Chauncey Ln Ste 215, Phoenix, AZ 85054-3117 | 2017-12-04 |
| 1851802631 | Coasterra Anesthesia LLC | Anesthesiology | 3219 E Camelback Rd Ste 272, Phoenix, AZ 85018-2307 | 2017-10-19 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1043732803 | Matrix Management LLC | Anesthesiology | 19820 N 7th Ave Ste 230h, Phoenix, AZ 85027-4785 | 2017-07-13 |
| 1841728276 | Radius Anesthesia of Arizona Pllc | Anesthesiology | 300 W Clarendon Ave Ste 230, Phoenix, AZ 85013-3479 | 2017-05-30 |
| Find all providers in PHOENIX | ||||
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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.