Legacy Texas Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LEGACY TEXAS ANESTHESIA PLLC

Practice address

5616 Warren Pkwy
Suite 101
Frisco, TX 75034-4166

Phone

(214) 618-5600

Fax

(214) 618-7733

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Kim Sivaraman

Title

Billing Manager

Phone

(214) 618-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1194098475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 WARREN PKWY",
            "address_2": "SUITE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344166",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 WARREN PKWY",
            "address_2": "SUITE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344166",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TEXAS ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-618-5600"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Physicians Group Florida LLC
• Legacy Physicians Group, LLC
• Legacy Physicians Group, LLC
• Legacy Respiratory Care & Medical Equipment Inc
• Legacy Surgery Center of Frisco LP
• Legacy Trails Therapy, PLLC
• Legacy Urgent Care, PA
• Legend Anesthesia Solutions, LLC
• Michael Legendre
• Legent Outpatient Imaging Frisco LLC

• Anesthesiology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.