NPIMap

Organization Active NPI

Anesthesia Care Services PLLC

  • Anesthesiology Physician
  • Dyersburg, TN
National Provider Identifier
1073658415
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA CARE SERVICES PLLC
Practice address
401 E Tickle St
Dyersburg, TN 38024-3119
Phone
(901) 382-1200
Fax
(901) 382-8070
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Teresa K Barsotti, CRNANPI 1841241478
Title
Director
Phone
(901) 827-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Anesthesiologist AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 367H00000X APN0000008853 TN

Addresses

Primary practice location

401 E Tickle St
Dyersburg, TN 38024-3119

Mailing address

PO Box 34756
Memphis, TN 38184-0756
Phone (901) 382-1200

Other identifiers 1

IdentifierTypeStateIssuer
1527735MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000613 TN Part B Supplier - Clinic/Group Practice 0547421109 Receives reassigned benefits from 3 practitioners
Practice locations: Dyersburg, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1073658415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34756",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381840756",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243119",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "BARSOTTI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-827-8111",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": "TN",
            "license": "APN0000008853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527735",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.