OPAL ANESTHESIA, LLC (NPI# 1952909897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952909897 |
| Entity Type | Organization |
| Organization Name | OPAL ANESTHESIA, LLC |
| Practice Address |
6424 E Broadway Rd Ste 102 Mesa AZ 85206-1750 |
| Practice Telephone | 4806344606 |
| Practice Fax Number | 4804520582 |
| Mailing Telephone | 4806344606 |
| Mailing Fax Number | 4804520582 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | BRANDIE HERNANDEZ (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4806344606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Opal Anesthesia, LLC | Doing Business As Name - Organization |
| Street Address |
6424 E BROADWAY RD STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275914186 | Verve Surgical Institute, Inc. | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2015-06-16 |
| 1568063097 | Dignified Monitoring LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-11-02 |
| 1134720659 | Optimal Tech LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-11-02 |
| 1740888684 | Resourceful Medical Group, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-10-13 |
| 1689299943 | Crown Surgery Center LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-06-12 |
| 1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
| 1992326201 | Power Surgical Institute, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-04-28 |
| 1568008167 | Ideal Surgical Center, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2019-11-19 |
| 1508426594 | Serene Medical Associates, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2019-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780883108 | Yara Vargas Md Plc | Clinic/Center | 2919 S Ellsworth Rd Ste 117, Mesa, AZ 85212-2166 | 2007-07-16 |
| 1740888684 | Resourceful Medical Group, LLC | Clinic/Center | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-10-13 |
| 1598221053 | Red Mountain Dietitian Services LLC | Clinic/Center | 2929 N Power Rd, Mesa, AZ 85215-1745 | 2019-02-20 |
| 1487193371 | East Valley Urology Center Plc | Clinic/Center | 6116 E Arbor Ave, Mesa, AZ 85206-6107 | 2017-02-13 |
| 1447525134 | L.blair Nielsen, Dc LLC | Clinic/Center | 7254 E Southern Ave, 113, Mesa, AZ 85209-2786 | 2012-03-14 |
| 1871875047 | Az Obstetrics & Gynecology, LLC | Clinic/Center | 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202-4725 | 2011-09-14 |
| 1326229881 | Valley Echo Inc | Clinic/Center | 1351 E Jensen St, Mesa, AZ 85203-3353 | 2007-11-26 |
| 1376722538 | Ronald C Burton M.d.,p.c. | Clinic/Center | 1432 S Dobson Rd, Suite 509, Mesa, AZ 85202-4768 | 2007-10-24 |
| 1467595504 | Brent D. Sloten D.o. Pllc | Clinic/Center | 1818 E Baseline Rd, Bldg. A, Mesa, AZ 85204-6814 | 2007-02-15 |
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| 1790319564 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6145 W Chandler Blvd Ste 3, Chandler, AZ 85226-3425 | 2020-03-02 |
| 1932733714 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 13613 W Camino Del Sol Ste 1, Sun City West, AZ 85375-4480 | 2020-03-02 |
| 1083248850 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2755 Silver Creek Rd Ste 205, Bullhead City, AZ 86442-8347 | 2020-03-02 |
| 1508490376 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2116 N Stockton Hill Rd Ste F, Kingman, AZ 86401-4600 | 2020-03-02 |
| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
| 1366919714 | Bianca J Vazquez Md Pllc | Clinic/Center | 10250 N 92nd St Ste 205, Scottsdale, AZ 85258-4519 | 2018-10-24 |
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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.