Healthcare Provider Details

I. General information

NPI: 1568005221
Provider Name (Legal Business Name): SUMMIT ANESTHESIA PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 E BELL RD
PHOENIX AZ
85032-2112
US

IV. Provider business mailing address

3724 W ASHTON CT
ANTHEM AZ
85086-2761
US

V. Phone/Fax

Practice location:
  • Phone: 602-923-5000
  • Fax:
Mailing address:
  • Phone:
  • 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: ADAM KUZMIAK
Title or Position: GENERAL PARTNER
Credential: CRNA
Phone: 480-773-1803