Organization Active NPI

Lakewood Anesthesia, PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1083195804
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LAKEWOOD ANESTHESIA, PLLC
Practice address
5706 E Mockingbird LN Ste 115-46
Dallas, TX 75206-5460
Phone
(817) 516-8811
Fax
(817) 516-8444
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Dr. Pam Hockert, MD
Title
Anesthesiologist
Phone
(214) 335-9165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5706 E Mockingbird LN Ste 115-46
Dallas, TX 75206-5460

Mailing address

5706 E Mockingbird LN Ste 115-46
Dallas, TX 75206-5460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1083195804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 E MOCKINGBIRD LN STE 115-46",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 E MOCKINGBIRD LN STE 115-46",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065460",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "HOCKERT",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "214-335-9165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.