SOUTHEAST MOBILE ANESTHESIA LLC NPI 1033433503

NPI Information

  • NPI: 1033433503
  • Provider Name: SOUTHEAST MOBILE ANESTHESIA LLC
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Organization
  • Address: 1727 COACHTRAIL DR
    HEBRON, KY
    ZIP 41048
  • Phone: (859) 409-2022

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NPI Details

SOUTHEAST MOBILE ANESTHESIA LLC is an anesthesiology in Hebron, KY. The provider is 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. SOUTHEAST MOBILE ANESTHESIA LLC NPI is 1033433503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1727 COACHTRAIL DR
HEBRON, KY
ZIP 41048-476
Phone: (859) 409-2022
Fax: (513) 332-9225

The provider's authorized official is Mark Jackson .
The authorized official title is President and has the following contact phone number (859) 409-2022.

The enumeration date for this NPI number is 3/26/2010 and was last updated on 3/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology40009KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000566553OTHERANTHEM
2200902520MEDICAIDINDIANA
3P00628092MEDICARE PIN
47100042320MEDICAIDKENTUCKY
528720930MEDICAIDOHIO
60918150MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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