Organization Active NPI

Ambulatory Anesthesia Services of Springfield, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Springfield, MO
National Provider Identifier
1043299910
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
R9D64 Issued in MO
Legal business name
AMBULATORY ANESTHESIA SERVICES OF SPRINGFIELD, LLC
Practice address
3045 S National Ave
Suite 101
Springfield, MO 65804-4247
Phone
(417) 882-1900
Fax
(417) 882-1966
NPI assigned
Jan 10, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Rebecca J Price
Title
Assistant Administrator
Phone
(417) 882-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X R9D64 MO Primary
Certified Registered Nurse Anesthetist 367500000X 058813 MO
Certified Registered Nurse Anesthetist 367500000X 063768 MO

Addresses

Primary practice location

3045 S National Ave
Suite 101
Springfield, MO 65804-4247

Mailing address

3045 S National Ave
Suite 100
Springfield, MO 65804-4247
Phone (417) 882-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1043299910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-882-1900",
            "fax_number": "417-882-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE",
            "address_2": "SUITE 101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-882-1900",
            "fax_number": "417-882-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIA SERVICES OF SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "417-882-1900"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "R9D64",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "058813",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "063768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.