Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Canyon Anesthesia LLC

Organization Anesthesiology Physician · NPI 1356822902

Grand Canyon Anesthesia LLC is an Anesthesiology Physician in Scottsdale, Arizona. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9787 N 91st St Ste 103
Scottsdale, AZ 85258-5088
Phone: (480) 657-0889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1356822902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Perry — Vp Of Rcm · (502) 418-4700
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing addressPo Box 737732, Dallas, TX 75373-7732

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