Organization Active NPI

Capital Anesthesia Solutions of Ky II LLC

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1104599513
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC
Practice address
2511 Terra Crossing Blvd
Louisville, KY 40245-5375
Phone
(239) 790-5582
Fax
(239) 790-5582
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Valerie Anderson
Title
Sr Director of Provider Enrollment
Phone
(503) 910-6182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2511 Terra Crossing Blvd
Louisville, KY 40245-5375

Mailing address

13500 Powers CT Ste 230
Fort Myers, FL 33912-4503
Phone (239) 790-5582

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1104599513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 POWERS CT STE 230",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124503",
            "telephone_number": "239-790-5582",
            "fax_number": "239-790-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 TERRA CROSSING BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455375",
            "telephone_number": "239-790-5582",
            "fax_number": "239-790-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ANESTHESIA SOLUTIONS OF KY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "SR DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "503-910-6182"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.