NPIMap

Organization Active NPI

Ema Anesthesia, PSC

  • Anesthesiology Physician
  • Jeffersonville, IN
National Provider Identifier
1104102268
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EMA ANESTHESIA, PSC
Practice address
360 Missouri Ave
BLDG 19a, Suite 102
Jeffersonville, IN 47130-3078
Phone
(812) 722-1480
Fax
(502) 265-0512
NPI assigned
Nov 2, 2011
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Mr. Richard Wes Breeding, CRNANPI 1093733362
Title
Managing Partner
Phone
(502) 681-4741

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
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

360 Missouri Ave
BLDG 19a, Suite 102
Jeffersonville, IN 47130-3078

Mailing address

PO Box 950290
Louisville, KY 40295-0290
Phone (513) 861-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120123000087 IN Part B Supplier - Clinic/Group Practice 7911174552 Receives reassigned benefits from 47 practitioners
Practice locations: Jeffersonville, IN; New Albany, IN
O20191213001786 KY Part B Supplier - Clinic/Group Practice 7911174552 Receives reassigned benefits from 33 practitioners
Practice locations: Elizabethtown, KY; Louisville, KY

National Provider Directory

National Provider Directory

Locations

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

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": "1567641600000",
    "number": "1104102268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950290",
            "telephone_number": "513-861-2490",
            "fax_number": "513-861-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MISSOURI AVE",
            "address_2": "BLDG 19A, SUITE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303078",
            "telephone_number": "812-722-1480",
            "fax_number": "502-265-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMA ANESTHESIA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "BREEDING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "502-681-4741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.