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KETAMINE WELLNESS CENTERS PHOENIX LLC
NPI 1205597788
Anesthesiology in Phoenix, AZ

Active since January 06, 2022
3724 N 3RD ST STE 201, PHOENIX, AZ 85012(480) 788-8539 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Ketamine Wellness Centers Phoenix Llc NPPES

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

KETAMINE WELLNESS CENTERS PHOENIX LLC (NPI 1205597788), doing business as Ketamine Infusion Centers, is a healthcare organization registered as an anesthesiology in Phoenix, Arizona and active in the NPI registry since January 2022. The organization lists Anita Jerger, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1205597788
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameKETAMINE WELLNESS CENTERS PHOENIX LLC
Location Address3724 N 3RD ST STE 201Phoenix, AZ 85012-2034
Mailing Address1255 W Baseline Rd Ste A-182Mesa, AZ 85202-5820 · (480) 993-2227
Phone(480) 788-8539
Organization SubpartYesParent: Ketamine Wellness Centers Arizona Llc
Authorized OfficialAnita JergerExecutive Assistant · (480) 993-2227
Enumeration DateJanuary 6, 2022
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1205597788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3724 N 3RD ST STE 201, Phoenix, AZ 85012
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Other Names 1

Former Legal Business NameKetamine Infusion Centers

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETAMINE INFUSION CENTERS, INC
Clinic/Center (Infusion Therapy)
3724 N 3RD ST STE 201
PHOENIX, AZ 85012
Maricopa County (480) 331-4222

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 Ketamine Wellness Centers Phoenix LLC's NPI number?

The NPI number for Ketamine Wellness Centers Phoenix LLC is 1205597788. It was assigned to this organization in the NPPES registry on January 6, 2022. The provider was formerly known as Ketamine Infusion Centers.

Where is Ketamine Wellness Centers Phoenix LLC located?

Ketamine Wellness Centers Phoenix LLC is located at 3724 N 3rd St Ste 201, Phoenix, AZ 85012. The listed phone number is (480) 788-8539.

What is Ketamine Wellness Centers Phoenix LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Ketamine Wellness Centers Phoenix LLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.