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ANESTHESIA SERVICES LLC NPI 1790803856


NPI Information

NPI: 1790803856
Provider Name: ANESTHESIA SERVICES LLC

Doing Business As: ANESTHESIA SERVICES

Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Organization
Address:
2809 DENNY AVE
SRHS ANESTHEISA DEPARTMENT
PASCAGOULA, MS
ZIP 39581
Phone: (228) 809-5000
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ANESTHESIA SERVICES LLC is an anesthesiologist assistant in Pascagoula, MS. The provider is 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. ANESTHESIA SERVICES LLC NPI is 1790803856. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anesthesia Services.

The provider's business location address is:

2809 DENNY AVE
SRHS ANESTHEISA DEPARTMENT
PASCAGOULA, MS
ZIP 39581-301
Phone: (228) 809-5000
Fax: (228) 818-0519

The provider's authorized official is Kevin Holland .
The authorized official title is Ceo and has the following contact phone number (228) 497-7907.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/10/2016.


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
1367H00000XAnesthesiologist AssistantMISSISSIPPIYes

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
1C02644MEDICARE UPINMISSISSIPPI
209015780MEDICAIDMISSISSIPPI
3=========OTHERBLUE CROSS OF MS

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: 5/5/2024

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