Healthcare Provider Details

I. General information

NPI: 1124430244
Provider Name (Legal Business Name): GREATER ANESTHESIA SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10720 W INDIAN SCHOOL RD STE 19-1039
PHOENIX AZ
85037-5721
US

IV. Provider business mailing address

PO BOX 740779
ATLANTA GA
30374-0779
US

V. Phone/Fax

Practice location:
  • Phone: 480-977-9559
  • Fax: 888-321-1535
Mailing address:
  • Phone: 800-402-0881
  • Fax: 888-321-1535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SCOTT H SHUMWAY
Title or Position: CRNA
Credential: CRNA
Phone: 800-402-0881