Organization Active NPI

Jane Bistline MD Anesthesia Services, LLC

  • Pain Medicine (Anesthesiology) Physician
  • West Palm Beach, FL
National Provider Identifier
1073899175
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME64772 Issued in FL
Legal business name
JANE BISTLINE MD ANESTHESIA SERVICES, LLC
Practice address
2031 Palm Beach Lakes Blvd
Suite 100
West Palm Beach, FL 33409-6501
Phone
(561) 681-9808
Fax
(561) 681-9989
NPI assigned
Nov 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Jane E Bistline, M.D.
Title
President
Phone
(561) 681-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME64772 FL Primary

Addresses

Primary practice location

2031 Palm Beach Lakes Blvd
Suite 100
West Palm Beach, FL 33409-6501

Mailing address

2031 Palm Beach Lakes Blvd
Suite 100
West Palm Beach, FL 33409-6501
Phone (561) 681-9808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1073899175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096501",
            "telephone_number": "561-681-9808",
            "fax_number": "561-681-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE BISTLINE MD ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "BISTLINE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-681-9808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME64772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.