Organization Active NPI

Premier Anesthesia and Pain, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
National Provider Identifier
1083933428
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
04-33111 Issued in KS
Legal business name
PREMIER ANESTHESIA AND PAIN, P.A.
Practice address
6500 W 143Rd St Ste a
Overland Park, KS 66223-2186
Phone
(913) 626-4633
Fax
(913) 451-9038
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Travis S Foxx, M.D.
Title
Anesthesiologist
Phone
(913) 626-4633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 04-33111 KS Primary

Addresses

Primary practice location

6500 W 143Rd St Ste a
Overland Park, KS 66223-2186

Mailing address

6500 W 143Rd St Ste a
Overland Park, KS 66223-2186
Phone (913) 626-4633

National Provider Directory

National Provider Directory

Locations

6500 W 143rd St
Ste A
Overland Park, KS 66223
Phone (913) 626-4633

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1083933428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W 143RD ST STE A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232186",
            "telephone_number": "913-626-4633",
            "fax_number": "913-451-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W 143RD ST STE A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232186",
            "telephone_number": "913-626-4633",
            "fax_number": "913-451-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA AND PAIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "FOXX",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "913-626-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-33111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.