Healthcare Provider Details

I. General information

NPI: 1225830466
Provider Name (Legal Business Name): ION ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18701 N 67TH AVE
GLENDALE AZ
85308-7100
US

IV. Provider business mailing address

6635 W HAPPY VALLEY RD STE A104
GLENDALE AZ
85310-2609
US

V. Phone/Fax

Practice location:
  • Phone: 602-488-4567
  • Fax: 623-572-7495
Mailing address:
  • Phone: 602-488-4567
  • Fax: 623-572-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW DAWSON
Title or Position: OWNER
Credential: CRNA
Phone: 602-488-4567