NPIMap

Organization Active NPI

Sanford Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Carencro, LA
National Provider Identifier
1114267945
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP04372 Issued in LA
Legal business name
SANFORD ANESTHESIA SERVICES, LLC
Practice address
124 Legend LN
Carencro, LA 70520-5390
Phone
(337) 255-8698
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Curtis Layton Sanford II, CRNANPI 1831129592
Title
Manager
Phone
(337) 255-8698

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP04372 LA Primary

Addresses

Primary practice location

124 Legend LN
Carencro, LA 70520-5390

Mailing address

124 Legend LN
Carencro, LA 70520-5390
Phone (337) 255-8698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140513002036 LA Part B Supplier - Clinic/Group Practice 0446473755 Receives reassigned benefits from 9 practitioners
Practice locations: Carencro, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1114267945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LEGEND LN",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205390",
            "telephone_number": "337-255-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LEGEND LN",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705205390",
            "telephone_number": "337-255-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LAYTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-255-8698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.