Healthcare Provider Details

I. General information

NPI: 1801713912
Provider Name (Legal Business Name): RIDGELINE ANESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W SAINT MARYS RD
TUCSON AZ
85745-2623
US

IV. Provider business mailing address

4600 E WASHINGTON ST STE 300
PHOENIX AZ
85034-1908
US

V. Phone/Fax

Practice location:
  • Phone: 520-872-3000
  • Fax:
Mailing address:
  • Phone: 602-834-5363
  • Fax: 602-834-6608

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: JOSEPH RODRIGUEZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 484-336-0271