Organization Active NPI

Comfort Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
National Provider Identifier
1134519044
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06051 Issued in LA
Legal business name
COMFORT ANESTHESIA LLC
Practice address
9423 Acadiana Place Blvd
Shreveport, LA 71115-3704
Phone
(318) 617-5563
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mr. Michael Jeff Lewis, CRNA
Title
Crna
Phone
(318) 617-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP06051 LA Primary

Addresses

Primary practice location

9423 Acadiana Place Blvd
Shreveport, LA 71115-3704

Mailing address

9423 Acadiana Place Blvd
Shreveport, LA 71115-3704
Phone (318) 617-5563

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1134519044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9423 ACADIANA PLACE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153704",
            "telephone_number": "318-617-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9423 ACADIANA PLACE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153704",
            "telephone_number": "318-617-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "318-617-5563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.