Indy Anesthesia Associates LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

INDY ANESTHESIA ASSOCIATES LLC

Practice address

4715 Statesmen Dr Ste Ab
Indianapolis, IN 46250-5642

Phone

(317) 625-2481

NPI assigned

Mar 25, 2021

Organization subpart

No

Name

Jeremy Buckner, DC

Title

Member

Phone

(480) 930-4018

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2021.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1124605225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11180",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840020",
            "telephone_number": "480-930-4018",
            "fax_number": "480-930-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 STATESMEN DR STE AB",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505642",
            "telephone_number": "317-625-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-930-4018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Indianapolis, IN
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.