MEDICARE: SOUTHWEST ANESTHESIOLOGY BUSINESS ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	29164	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z66877	OTHER	AZ	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467725499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST ANESTHESIOLOGY BUSINESS ASSOCIATES PC

Provider Business Mailing Address
First Line	:	PO BOX 13385
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85267-3385
Country	:	US
Telephone Number	:	480-609-9300
Fax Number	:	480-609-9350

Provider Business Practice Location Address
First Line	:	3533 CANYON DE FLORES
Second Line	:	STE A
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650-5366
Country	:	US
Telephone Number	:	520-227-4355
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAROLYN M SABA
Credential	:	M.D.
Telephone Number	:	520-515-9751

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	09/24/2019

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