Active NPI
Bowling Green Anesthesiology Associates, PSC
- Anesthesiology Physician
- Bowling Green, KY
National Provider Identifier
1124058896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- BOWLING GREEN ANESTHESIOLOGY ASSOCIATES, PSC
- Practice address
- 1725 Ashley Cir
Suite 209a
Bowling Green, KY 42104-3337 - Phone
- (270) 782-9994
- Fax
- (270) 842-5048
- NPI assigned
- Jul 5, 2006
- 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
- Stacia Decker
- Title
- Office Manager
- Phone
- (270) 782-9994
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
1725 Ashley Cir
Suite 209a
Bowling Green, KY 42104-3337
Mailing address
PO Box 2020
Bowling Green, KY 42102-2020
Phone (270) 782-9994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65908048 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1228 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-1237
1725 Ashley Cir
Ste 209A
Bowling Green, KY 42104
Phone (270) 782-9994
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
- NPI 1518952217
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
- NPI 1528055050
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1124058896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2020",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421022020",
"telephone_number": "270-782-9994",
"fax_number": "270-842-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 ASHLEY CIR",
"address_2": "SUITE 209A",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043337",
"telephone_number": "270-782-9994",
"fax_number": "270-842-5048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWLING GREEN ANESTHESIOLOGY ASSOCIATES, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "STACIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "270-782-9994"
},
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65908048",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
- Emily Boston, CSW
- Morgan Ashley Bottoms
- Stephanie Bouchard, DO
- Rene Albert Boucher, DO
- Kimberly Dawn Bowen, PT
- Bowling Green Dermatology & Skin Cancer Specialists PLLC
- Bowling Green Dialysis Center Inc
- Bowling Green Emergency Services, LLC
- Bowling Green Family Chiropractic PLLC
- Bowling Green Health Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.