Preferred Anesthesia Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01061306A Issued in IN

Legal business name

PREFERRED ANESTHESIA ASSOCIATES, LLC

Practice address

800 Lincolnway
Suite 301
La Porte, IN 46350-3438

Phone

(219) 324-2229

Fax

(219) 324-2229

NPI assigned

Jul 28, 2009

Last updated

Jul 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tommy Mislenkov, MDNPI 1912103904

Title

Owner

Phone

(219) 324-2229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tommy Mislenkov, M.D.

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1912103904
  Authorized official Same address or phone

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": "1033340898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503438",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINCOLNWAY",
            "address_2": "SUITE 301",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503438",
            "telephone_number": "219-324-2229",
            "fax_number": "219-324-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "MISLENKOV",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-324-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01061306A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in La Porte, IN
• Providers in La Porte, IN by specialty
• Specialist in Indiana

• 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.