South Central Anesthesia Associates Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTH CENTRAL ANESTHESIA ASSOCIATES INC

Practice address

155 Stone Trace Dr
Alvaton, KY 42122-7809

Phone

(270) 779-6696

Fax

(615) 547-9845

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Dickinson

Title

Crna/Owner

Phone

(270) 779-6696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1194117242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370885000",
            "telephone_number": "615-444-2320",
            "fax_number": "615-547-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 STONE TRACE DR",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421227809",
            "telephone_number": "270-779-6696",
            "fax_number": "615-547-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CRNA/OWNER",
        "authorized_official_telephone_number": "270-779-6696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Alvaton, KY
• Providers in Alvaton, KY by specialty
• Anesthesiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.