NPIMap

Organization Active NPI

Longview Anesthesiology Group, PC

  • Anesthesiology Physician
  • Longview, WA
National Provider Identifier
1003894957
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LONGVIEW ANESTHESIOLOGY GROUP, PC
Practice address
625 9TH Ave Ste 150
Longview, WA 98632-2467
Phone
(360) 442-7900
NPI assigned
Jan 1, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Stan Chen, MDNPI 1962449090
Title
President
Phone
(360) 442-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

625 9TH Ave Ste 150
Longview, WA 98632-2467

Mailing address

PO Box 24801
Seattle, WA 98124-0801
Phone (425) 407-1500

National Provider Directory

National Provider Directory

Locations

625 9th Ave
Longview, WA 98632
Phone (360) 442-7900

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1136073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1003894957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24801",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240801",
            "telephone_number": "425-407-1500",
            "fax_number": "425-407-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH AVE STE 150",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322467",
            "telephone_number": "360-442-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW ANESTHESIOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-01",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-442-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.