INDEPENDENT MEDICAL AND SURGICAL
NPI 1134673254
Anesthesiologist Assistant in Cottonwood, AZ

Q: What is Independent Medical And Surgical's NPI number?

The NPI number for Independent Medical And Surgical is 1134673254. It was assigned to this organization in the NPPES registry on August 5, 2016.

Q: What is Independent Medical And Surgical's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since August 05, 2016

401 S CALVARY WAY, SUITE D, COTTONWOOD, AZ 86326(928) 649-2600(928) 634-7847 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2016, Aug 26, 2016, Aug 8, 2016 (3 updates tracked since 2016).

On this page

About Independent Medical And Surgical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENT MEDICAL AND SURGICAL (NPI 1134673254) is a healthcare organization registered as an anesthesiologist assistant in Cottonwood, Arizona and active in the NPI registry since August 2016. The organization lists Farshid Paydar, Owner, as its authorized official.

NPPES Registry Identity

NPI1134673254

Entity TypeOrganization

Primary Taxonomy367H00000X

Legal Business NameINDEPENDENT MEDICAL AND SURGICAL

Location Address401 S CALVARY WAY, SUITE DCottonwood, AZ 86326-4165

Mailing Address401 S Calvary Way Ste DCottonwood, AZ 86326-4165 · (928) 649-2600 · Fax (928) 634-7847

Phone(928) 649-2600

Fax(928) 634-7847

Organization SubpartNo

Authorized OfficialFarshid PaydarOwner · (928) 649-2600

Enumeration DateAugust 5, 2016

Last NPPES UpdateJune 9, 20263 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1134673254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

401 S CALVARY WAY, Cottonwood, AZ 86326

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Independent Medical And Surgical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Independent Medical And Surgical, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Alane Dykes, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1649299298

203 S CANDY LN STE 6B
Cottonwood, AZ 86326

(602) 589-0500

✔ Accepts Medicare0.3 mi

Lee Fenwick, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1023496841

400 S CLARK ST
Butte, MT 59701

(406) 723-2500

✔ Accepts Medicare779 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independent Medical And Surgical's NPI number?

The NPI number for Independent Medical And Surgical is 1134673254. It was assigned to this organization in the NPPES registry on August 5, 2016.

Where is Independent Medical And Surgical located?

Independent Medical And Surgical is located at 401 S Calvary Way Suite D, Cottonwood, AZ 86326. The listed phone number is (928) 649-2600.

What is Independent Medical And Surgical's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Independent Medical And Surgical enrolled in Medicare?

Yes. Independent Medical And Surgical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Independent Medical And Surgical?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Independent Medical And Surgical. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Independent Medical And Surgical was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.