NPIMap

Organization Active NPI

Southeast Anesthesia Services

  • Anesthesiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1003151960
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SOUTHEAST ANESTHESIA SERVICES
Practice address
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone
(573) 331-6882
Fax
(573) 331-6887
NPI assigned
Dec 4, 2012
Organization subpart
Yes
Parent organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hubert King
Title
V Pres Cfo
Phone
(573) 331-6882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1701 Lacey St
Cape Girardeau, MO 63701-5230

Mailing address

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 331-6882

National Provider Directory

National Provider Directory
Tax ID family
Southeast Missouri Hos5 organizations share this tax ID, including this one
Part of
Southeast Missouri Hos

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4a0f2b1c-3433-4080-963d-5ef416dec69b/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1003151960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-331-6882",
            "fax_number": "573-331-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-331-6882",
            "fax_number": "573-331-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ANESTHESIA SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "V PRES CFO",
        "authorized_official_telephone_number": "573-331-6882"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.