Active NPI
New Brooke Anesthesiologists PC
- Anesthesiology Physician
- New Albany, IN
National Provider Identifier
1104968957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NEW BROOKE ANESTHESIOLOGISTS PC
- Practice address
- 3018 Brookhaven Rd
New Albany, IN 47150-9439 - Phone
- (812) 945-2047
- NPI assigned
- Feb 12, 2007
- Last updated
- Nov 28, 2012
- 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
- Mrs. Nieves C Antonio, MD
- Title
- Secretary
- Phone
- (812) 945-2047
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3018 Brookhaven Rd
New Albany, IN 47150-9439
Mailing address
3018 Brookhaven Rd
New Albany, IN 47150-9439
Phone (812) 945-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100405570A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Anesthesiology Physician
- New Albany, IN
- NPI 1942302120
-
- Anesthesiology Physician
- New Albany, IN
- NPI 1346342516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354060800000",
"number": "1104968957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 BROOKHAVEN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509439",
"telephone_number": "812-945-2047",
"fax_number": "812-945-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 BROOKHAVEN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509439",
"telephone_number": "812-945-2047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BROOKE ANESTHESIOLOGISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2012-11-28",
"status": "A",
"authorized_official_last_name": "ANTONIO",
"authorized_official_first_name": "NIEVES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "812-945-2047",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100405570A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
- New Albany Outpatient Surgery, LLC (Surgical Center of New Albany)
- New Albany Recovery LLC (Hickory Treatment Center at New Albany)
- New Albany Senior Partners, LLC (Rivercrest Senior Living)
- New Albany Spine & Wellness Center, LLC
- New Albany-Floyd County Consolidated School Corporation
- New Horizons Physical Therapy Limited Partnership
- New Horizons Physical Therapy Limited Partnership
- New-Brooke Anesthesiologist, P.C..
- Kaylie New
- Natalie Renee Nichols, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.