CENTRAL ARIZONA ENDOSCOPY, LLC


Address: 2158 N Gilbert Rd, Bldg 1 Suite 103, Mesa, AZ 85203-2109
Phone: 4807513002

CENTRAL ARIZONA ENDOSCOPY, LLC (NPI# 1386020519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386020519
Entity Type Organization
Organization Name CENTRAL ARIZONA ENDOSCOPY, LLC
Practice Address 2158 N Gilbert Rd
Bldg 1 Suite 103
Mesa
AZ 85203-2109
Practice Telephone 4807513002
Mailing Telephone 4807513002
Enumeration Date 2015-08-11
Last Update Date 2015-12-14
Authorized Official Name KAREN P SABLYAK (TREASURER)
Authorized Official Telephone 2155899001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2158 N GILBERT RD
BLDG 1 SUITE 103
City MESA
State AZ
Zip Code 85203-2109

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1730490228 North Groves Dental Group Clinic/Center 2158 N Gilbert Rd, Ste 123, Mesa, AZ 85203 2010-06-29
1083893911 Lori J Olsen Counselor 2158 N Gilbert Rd, Suite 110, Mesa, AZ 85203-2109 2007-10-28
1750312435 Central Arizona Endoscopy LLC Clinic/Center 2158 N Gilbert Rd, Building 1 Suite 103, Mesa, AZ 85203-2112 2006-07-05

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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

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1982138079 Warren Brent Thomas Nurse Anesthetist, Certified Registered 10632 E Kiva Ave, Mesa, AZ 85209 2017-04-14
1275070369 Clint Brock Nurse Anesthetist, Certified Registered 1823 E Hackamore St, Mesa, AZ 85203-3908 2017-01-26
1942662374 Todd Cook Nurse Anesthetist, Certified Registered 3828 E Omega Cir, Mesa, AZ 85215-9792 2016-03-24
1700273018 Justin Kitaro Burton Nurse Anesthetist, Certified Registered 4838 E.baseline Road, Suite 108, Mesa, AZ 85206-4672 2015-04-24
1649696576 Ryan Scott Jensen Nurse Anesthetist, Certified Registered 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206-4672 2014-03-17
1184975476 Cardiac Anesthesia Associates Pllc Nurse Anesthetist, Certified Registered 1301 S Crimson Rd, Mesa, AZ 85209-3767 2012-09-26
1528313798 John Dyorich Nurse Anesthetist, Certified Registered 1265 S Aaron Unit 292, Mesa, AZ 85209-3795 2012-07-13
1659559722 Anthony Stewart Collins Nurse Anesthetist, Certified Registered 8960 E Nora Cir, Mesa, AZ 85207-1441 2008-01-31
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City MESA
Zip Code 85203

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Dataset Information

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.

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