NPIMap

Organization Active NPI

Associated Anesthesiologists of Springfield, LTD

  • Anesthesiology Physician
  • Springfield, IL
National Provider Identifier
1144291667
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD
Practice address
701 N 1St St
Springfield, IL 62781-0001
Phone
(217) 788-5495
Fax
(217) 788-5496
NPI assigned
Feb 1, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Judith Kelly, MDNPI 1821077181
Title
President
Phone
(217) 788-5495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

701 N 1St St
Springfield, IL 62781-0001

Mailing address

PO Box 17037
Urbana, IL 61803-7037
Phone (800) 897-6169

Other identifiers 1

IdentifierTypeStateIssuer
08415645OtherILBC OF IL GROUP PROVIDER #

National Provider Directory

National Provider Directory

Locations

747 N Rutledge St
Lowr
Springfield, IL 62702
Phone (217) 788-3434

747 N Rutledge St
Ste 2301
Springfield, IL 62702
Phone (217) 757-7601

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1144291667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17037",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618037037",
            "telephone_number": "800-897-6169",
            "fax_number": "800-897-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-5495",
            "fax_number": "217-788-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-788-5495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF IL GROUP PROVIDER #",
            "identifier": "08415645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.