| Louis John Carothers Jr, CRNA | |
| 
					18701 N 67th Ave, Glendale, AZ 85308-7100  | |
| (623) 561-1000 | |
| Not Available | 
| Full Name | Louis John Carothers Jr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 18701 N 67th Ave, Glendale, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740924067 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 269411 (Arizona) | Primary | 
| Entity Name | Greater Anesthesia Solutions | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Louis John Carothers Jr, CRNA 2989 N 44th St Unit 3013, Phoenix, AZ 85018-7310 Ph: (856) 885-1928  | Louis John Carothers Jr, CRNA 18701 N 67th Ave, Glendale, AZ 85308-7100 Ph: (623) 561-1000  | 
Ms. Terren Courtney Wortham, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000  | |
Juan N Aliaga, DNP, APRN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000  | |
Jason Scott Herndon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000  | |
Brandi Norman,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200  | |
Gina S. Kozul,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18555 N 79th Ave Bldg C, Glendale, AZ 85308 Phone: 623-776-2500  | |
Camarae Mikaela Mather, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 602-653-3012  | |
Morgan Robert Woodmansee, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200  |