Blue Dog Anesthesia PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BLUE DOG ANESTHESIA PA

Practice address

2929 Amherst Ave
Dallas, TX 75225-7806

Phone

(214) 564-4972

NPI assigned

Apr 22, 2011

Last updated

Apr 22, 2011By 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

Thomas P. Kenjarski, MDNPI 1770585739

Title

President/Ceo

Phone

(214) 564-4972

Specialties & licenses 1

Addresses

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.

• Thomas Kenjarski, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1770585739
  NPD (past) Authorized official

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1033400213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094820",
            "telephone_number": "817-334-0530",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 AMHERST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257806",
            "telephone_number": "214-564-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOG ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "KENJARSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-564-4972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Blotcky
• Mark Joel Blotcky, M.D.
• Vanessa Lynn Bludau, RN, FNP-C
• Blue Bayou Services Inc
• Blue Diagnostics LLC
• Blue Haired Social Worker
• Blue Jay Anesthesia PLLC
• Blue Jay Way LLC
• Blue Ribbon Hospice Inc
• Blue Star Homehealth Agency, Inc (Blue Star Hospice)

• Anesthesiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.