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

Northeastern Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1487956504

Northeastern Anesthesia PLLC is an Anesthesiology Physician in Sierra Vista, Arizona. Works from 2 locations. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone: (520) 263-3835
Fax: (520) 263-3919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 — (928) 855-8185

Specialties & licences

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

Record details

NPI number1487956504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Martin — Owner · (559) 289-4574
NPI enumeratedNovember 22, 2010
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing addressPo Box 849955, Los Angeles, CA 90084-9955

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