Organization Active NPI

Lees Anesthesia Services PC

  • Certified Registered Nurse Anesthetist
  • Centralia, IL
National Provider Identifier
1013148808
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 041325048 Issued in IL
Legal business name
LEES ANESTHESIA SERVICES PC
Practice address
1045 M L King Dr
Centralia, IL 62801-3001
Phone
(618) 532-3110
Fax
(618) 532-7226
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mr. David Earl Lees, CRNA
Title
President
Phone
(618) 242-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN 041325048 IL Primary

Addresses

Primary practice location

1045 M L King Dr
Centralia, IL 62801-3001

Mailing address

3650 E Bishop Rd
Mount Vernon, IL 62864-8292
Phone (618) 242-3979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1013148808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E BISHOP RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648292",
            "telephone_number": "618-242-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 M L KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-532-3110",
            "fax_number": "618-532-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEES ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "LEES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-242-3979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "RN 041325048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.