Organization Active NPI

Newburgh Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Newburgh, IN
National Provider Identifier
1174541981
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28151018A Issued in IN
Legal business name
NEWBURGH ANESTHESIA ASSOCIATES, LLC
Practice address
2177 Glenstone CT
Newburgh, IN 47630-8074
Phone
(812) 490-3420
Fax
(812) 634-7152
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Cathy Ann Leake Rogers, CRNA
Title
Crna
Phone
(812) 490-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 28151018A IN Primary

Addresses

Primary practice location

2177 Glenstone CT
Newburgh, IN 47630-8074

Mailing address

2177 Glenstone CT
PO Box 1225
Newburgh, IN 47630-8074
Phone (812) 490-3420

Other identifiers 2

IdentifierTypeStateIssuer
200374720AMedicaidIN
1063434470OtherINCATHY ROGERS PERSONAL PROVIDER NPI #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1174541981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 GLENSTONE CT",
            "address_2": "PO BOX 1225",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308074",
            "telephone_number": "812-490-3420",
            "fax_number": "812-634-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 GLENSTONE CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308074",
            "telephone_number": "812-490-3420",
            "fax_number": "812-634-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANN LEAKE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "812-490-3420",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28151018A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374720A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CATHY ROGERS PERSONAL  PROVIDER NPI #",
            "identifier": "1063434470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.