Elite Anesthesia Providers, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ELITE ANESTHESIA PROVIDERS, LLC

Practice address

815 S 10TH St
Doctors Hospital @ Deer Creek Anesthesiology Dept
Leesville, LA 71446-4611

Phone

(337) 392-5088

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Thomas L Marcantel, CRNA

Title

President

Phone

(318) 419-0756

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1144548512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BOCAGE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032191",
            "telephone_number": "318-419-0756",
            "fax_number": "337-392-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S 10TH ST",
            "address_2": "DOCTORS HOSPITAL @ DEER CREEK ANESTHESIOLOGY DEPT",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464611",
            "telephone_number": "337-392-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ANESTHESIA PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "MARCANTEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-419-0756",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deveyn Dunegan
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• Adam C. Ebarb, LMSW-MHP
• Alivia Faith Ellzey
• Jaime Erwin, RN
• Callee Eschete
• Alicia Evans, LMT
• Evergreen Presbyterian Ministries, Inc.

• Certified Registered Nurse Anesthetist in Leesville, LA
• Providers in Leesville, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.