Independant Anesthesiologists PSC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

INDEPENDANT ANESTHESIOLOGISTS PSC

Practice address

One Medical Village Drive
Edgewood, KY 41017

Phone

(859) 341-7246

Fax

(859) 341-7867

NPI assigned

Feb 12, 2008

Organization subpart

Yes

Parent organization

INDEPENDANT ANESTHESIOLOGISTS PSCAs reported in NPPES

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

Authorized official

Name

Richard Eldon Park, MD

Title

President

Phone

(859) 341-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CRNA Group Other name

Tax ID family

Independent Anes Crna2 organizations share this tax ID, including this one

Part of

Independent Anes Crna

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independent Anesthesiologists, PSC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1538330204
  NPD tax ID

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1073781167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DRIVE",
            "address_2": "258",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL VILLAGE DRIVE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDANT ANESTHESIOLOGISTS PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDANT ANESTHESIOLOGISTS PSC",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-341-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74905910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darren R Hurst, MD
• Bradley Joseph Huth, M.D.
• Brooke Nicole Hyde, OD
• Todd Edward Ignarski, MD
• Ogechi Iloegbunam
• Independent Anesthesiologists PSC
• Independent Anesthesiologists, PSC
• Infectious Disease Consultants Inc
• Cheyenne Marie Insprucker, APRN
• Interim Healthcare of Cincinnati, Inc

• Certified Registered Nurse Anesthetist in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.