Active NPI
Parkway Anesthesia Services LLC
- Certified Registered Nurse Anesthetist
- Decatur, AL
National Provider Identifier
1104117027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PARKWAY ANESTHESIA SERVICES LLC
- Practice address
- 1874 Beltline Rd SW
Decatur, AL 35601-5514 - Phone
- (256) 350-2211
- NPI assigned
- Apr 26, 2011
- Last updated
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Clemens, MD PHD
- Title
- Ceo
- Phone
- (660) 827-0492
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
1874 Beltline Rd SW
Decatur, AL 35601-5514
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1104117027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "256-350-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY ANESTHESIA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "CLEMENS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "660-827-0492",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.