Healthcare Provider Details

I. General information

NPI: 1205763877
Provider Name (Legal Business Name): ANESTHESIA PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 S VAL VISTA DR
GILBERT AZ
85297-7323
US

IV. Provider business mailing address

7447 E SOUTHERN AVE STE 104
MESA AZ
85209-2764
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-8000
  • Fax:
Mailing address:
  • Phone: 480-507-2961
  • Fax: 480-507-2971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JARED SMITH
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 480-507-2961