Provider Demographics
NPI:1124430244
Name:GREATER ANESTHESIA SOLUTIONS
Entity type:Organization
Organization Name:GREATER ANESTHESIA SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, MS
Authorized Official - Phone:800-402-0881
Mailing Address - Street 1:PO BOX 75250
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60675-5250
Mailing Address - Country:US
Mailing Address - Phone:800-402-0881
Mailing Address - Fax:888-321-1535
Practice Address - Street 1:1155 S POWER RD STE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3715
Practice Address - Country:US
Practice Address - Phone:800-402-0881
Practice Address - Fax:888-321-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty