NPI 1093765778
This NPI was deactivated on September 11, 2026. The record is kept for reference and should not be used for billing or referrals.
NPI 1093765778 is registered under Certified Registered Nurse Anesthetist (CRNA). Qualified in 1991, 35 years ago. Practices with Ias Arizona PLLC, a 127-clinician group and accepts Medicare assignment.
- Years since qualifying
- 35
Practice location Incomplete address
No coordinates on file. Search this address in Google Maps
Specialties & licences
Record details
| NPI number | 1093765778 |
|---|---|
| Entity type | Individual (Type 1) |
| NPI enumerated | — |
| Last updated in NPPES | — |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 1991 (35 years in practice) |
| Group practice | Ias Arizona Pllc — 127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 48 |
| Average patient age | 74 |
Practises at
- Tucson Medical Center Hospital · Tucson, AZ
Colleagues at Ias Arizona PLLC
- Dr. Tashinga Chinyadza, MD Anesthesiology Physician · Tucson, AZ
- Dr. Anthony Michael Cilla, MD Anesthesiology Physician · Phoenix, AZ
- Dr. Thomas Leo Cotter, MD Anesthesiology Physician · Spokane, WA
- Michael C Druke, CRNA Registered Nurse · Richmond, VA
- Yali Gu Critical Care Medicine Registered Nurse · Tucson, AZ
- Deepak Gupta, MD Anesthesiology Physician · Cleveland, OH
- Suzanne Keller, CRNA Certified Registered Nurse Anesthetist · Tucson, AZ
- Dr. Casey Shaw Mock, CRNA Certified Registered Nurse Anesthetist · Tucson, AZ
- Dr. Sang Youn O, DO Anesthesiology Physician · Phoenix, AZ
- Olubukola Opeyemi Olla, MD Anesthesiology Physician · Philadelphia, PA
- Paul Hen-Lin Tsong, MD Anesthesiology Physician · Tucson, AZ
- Sally J Vetter, MD Anesthesiology Physician · Oro Valley, AZ