NPIMap

Organization Active NPI

Arlington Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Arlington, TX
National Provider Identifier
1023483153
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
F4167 Issued in TX
Legal business name
ARLINGTON ANESTHESIA GROUP, PLLC
Practice address
350 E Interstate 20 Ste 200
Arlington, TX 76018-1119
Phone
(817) 784-6771
NPI assigned
Dec 1, 2015
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Brett Ehrhardt
Title
Cfo
Phone
(720) 358-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X F4167 TX Primary

Addresses

Primary practice location

350 E Interstate 20 Ste 200
Arlington, TX 76018-1119

Mailing address

1075 Kingwood Dr
Suite 150
Kingwood, TX 77339-3010
Phone (281) 358-8114

Other practice location 1

2009 N Jefferson Ave
Mount Pleasant, TX 75455-2336
Phone (903) 575-1800

Other practice location 2

220 S 63rd St
Mesa, AZ 85206-1619
Phone (480) 641-3937

Other practice location 3

5494 Glen Lakes Dr
Dallas, TX 75231-4308
Phone (214) 692-6220

Other practice location 4

1000 Wellington Ave Ste B
Grand Junction, CO 81501-8180
Phone (970) 245-5989

Other practice location 5

10520 El Diente Ct Ste B
Englewood, CO 80112-2656
Phone (720) 248-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160310000125 TX Part B Supplier - Clinic/Group Practice 2860798303 Receives reassigned benefits from 47 practitioners
Practice locations: Arlington, TX; Dallas, TX; Mount Pleasant, TX; Southlake, TX
O20170823002989 CO Part B Supplier - Clinic/Group Practice 2860798303 Receives reassigned benefits from 44 practitioners
Practice locations: Denver, CO; Englewood, CO; Grand Junction, CO
O20200306000876 AZ Part B Supplier - Clinic/Group Practice 2860798303 Receives reassigned benefits from 26 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1000 Wellington Ave
Ste B
Grand Junction, CO 81501
Phone (970) 245-5989

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

1825 E Southlake Blvd
Southlake, TX 76092
Phone (214) 277-3404

Practitioners & affiliated clinicians

Practitioners 130

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 130

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1023483153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 KINGWOOD DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393010",
            "telephone_number": "281-358-8114",
            "fax_number": "281-358-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20 STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552336",
            "country_code": "US",
            "telephone_number": "903-575-1800",
            "fax_number": "903-572-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S 63rd St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061619",
            "country_code": "US",
            "telephone_number": "480-641-3937",
            "fax_number": "480-924-5094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5494 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314308",
            "country_code": "US",
            "telephone_number": "214-692-6220",
            "fax_number": "214-696-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Wellington Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018180",
            "country_code": "US",
            "telephone_number": "970-245-5989",
            "fax_number": "970-243-9023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10520 El Diente Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801122656",
            "country_code": "US",
            "telephone_number": "720-248-0797",
            "fax_number": "303-484-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARLINGTON ANESTHESIA GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "EHRHARDT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-358-0218"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "F4167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.