SUMMIT PEDIATRIC ANESTHESIA PLLC (NPI# 1639760853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639760853 |
| Entity Type | Organization |
| Organization Name | SUMMIT PEDIATRIC ANESTHESIA PLLC |
| Practice Address | 1920 E Cambridge Ave Ste 100 Phoenix AZ 85006-1461 |
| Practice Telephone | 6029339400 |
| Mailing Address | 2942 N 24th St Ste 114 Phoenix AZ 85016-7849 |
| Mailing Telephone | 6029544575 |
| Certification Date | 2021-01-30 |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |
| Authorized Official Telephone | 6029544575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207LP3000X | Anesthesiology Specialization: Pediatric Anesthesiology | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Street Address | 1920 E CAMBRIDGE AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox · Teresa Louise Valle | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford · Amanda Kyle | Nurse Practitioner · Adult Health | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1770089062 | Kayla Marie Galetta | Registered Nurse · Pediatrics | 735 E. Fillmore St, Asu Preparatory Acadamy Pheonix, Phoenix, AZ 85006 | 2018-04-04 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412553 | David Minoru Fujii | 2942 N 24th St, Suite 114, Phoenix, AZ 85016-7844 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412553 | David Minoru Fujii | 2942 N 24th St, Suite 114, Phoenix, AZ 85016-7844 | 2006-01-23 |
| City | PHOENIX |
| Zip Code | 85006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005221 | Summit Anesthesia Partners Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-10-24 |
| 1841814787 | Summit Anesthesia Solutions Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2020-06-06 |
| 1821589144 | Summit Anesthesia Services Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032 | 2018-05-22 |
| 1609385509 | Summit Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6703 W Rio Grande Ave Bldg A, Kennewick, WA 99336-2623 | 2017-09-22 |
| 1063939593 | Sunshine Pediatric Anesthesia Pllc | Anesthesiology · Pediatric Anesthesiology | 10080 Balaye Run Dr, Tampa, FL 33619-7902 | 2017-08-25 |
| 1598222812 | Summit Anesthesia Pain Services Pllc | Anesthesiology | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2019-02-22 |
| 1376678771 | Maricopa Pediatric Anesthesia Pllc | Specialist | 1500 S Dobson Rd, Suite 203, Mesa, AZ 85202-4713 | 2007-02-23 |
| 1669031837 | Summit Medical Group,Pllc · Pediatric Clinic | Pediatrics | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2019-06-11 |
| 1285152835 | Cvk General & Pediatric Anesthesia & Pain, Pllc | Anesthesiology · Pain Medicine | 14546 Brook Hollow Blvd, Suite 344, San Antonio, TX 78232 | 2017-09-05 |
| 1285132845 | Summit Medical Group, Pllc · Hamblen Pediatric Associates | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-01-30 |
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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.