Provider Type Icon

ACACIA ANESTHESIA PLLC NPI 1528258118


NPI Information

NPI: 1528258118
Provider Name: ACACIA ANESTHESIA, PLLC
Classification: Anesthesiology - 207LC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1500 S DOBSON RD
SUITE 203
MESA, AZ
ZIP 85202
Phone: (480) 512-5737
Get Directions

ACACIA ANESTHESIA, PLLC is a critical care medicine anesthesiology in Mesa, AZ. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. ACACIA ANESTHESIA, PLLC NPI is 1528258118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 S DOBSON RD
SUITE 203
MESA, AZ
ZIP 85202-713
Phone: (480) 512-5737
Fax: (480) 512-5486

The provider's authorized official is Efrem Miller .
The authorized official title is Partner and has the following contact phone number (480) 844-7100.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 12/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LC0200XAnesthesiologyCritical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z118188MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.