Healthcare Provider Details

I. General information

NPI: 1407642945
Provider Name (Legal Business Name): ASCEND ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 W CAREFREE HWY
PHOENIX AZ
85085-8862
US

IV. Provider business mailing address

PO BOX 41550
PHOENIX AZ
85080-1550
US

V. Phone/Fax

Practice location:
  • Phone: 623-213-8609
  • Fax:
Mailing address:
  • Phone: 480-773-1803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: BRETT MCLAUGHLIN
Title or Position: DIRECTOR
Credential:
Phone: 480-773-1803