Organization Active NPI

Anesthesia Associates of Southern Illinois

  • Anesthesiology Physician
  • Marion, IL
National Provider Identifier
1194199240
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
209013614 Issued in IL
Legal business name
ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS
Practice address
3333 W Deyoung St
Marion, IL 62959-5884
Phone
(618) 499-0562
NPI assigned
Nov 29, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steven Roodman
Title
M.D.
Phone
(618) 889-4707

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 209013614 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

3333 W Deyoung St
Marion, IL 62959-5884

Mailing address

2700 Turnberry Dr
Marion, IL 62959-5227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2015.

{
    "created_epoch": "1448755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448755200000",
    "number": "1194199240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TURNBERRY DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "618-499-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-29",
        "last_updated": "2015-11-29",
        "status": "A",
        "authorized_official_last_name": "ROODMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "618-889-4707"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "209013614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.