Active NPI
Metropolitan Anesthesia Alliance, Crna
- Anesthesiologist Assistant
- Germantown, TN
National Provider Identifier
1144428830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Legal business name
- METROPOLITAN ANESTHESIA ALLIANCE, CRNA
- Practice address
- 1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954 - Phone
- (901) 818-2162
- Fax
- (901) 818-2163
- NPI assigned
- Jul 5, 2007
- 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
- Mrs. Judy L Roenblum
- Title
- Human Resource Associate
- Phone
- (901) 818-2162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Mailing address
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Phone (901) 818-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3625251 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1144428830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2162",
"fax_number": "901-818-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2162",
"fax_number": "901-818-2163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN ANESTHESIA ALLIANCE, CRNA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "ROENBLUM",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "HUMAN RESOURCE ASSOCIATE",
"authorized_official_telephone_number": "901-818-2162",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3625251",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
- Methodist Healthcare-Memphis Hospitals
- Methodist Le Bonheur Healthcare
- Methodist Lebonheur Healthcare
- Methodist Surgery Center Germantown LP
- Metropolitan Anesthesia Alliance PLLC
- Brittany Mezquita, NP
- Michael E. Steuer MD PC
- Michael P. Berry, MD, PC
- Mid South Endodontics PLLC
- Mid South Neurology Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.