NPIMap

Organization Active NPI

Obstetric Anesthesia Consultants PSC

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1194775239
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OBSTETRIC ANESTHESIA CONSULTANTS PSC
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 629-2880
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Authorized official

Name
Mushtaque Juneja, MD
Title
Head of Group
Phone
(502) 629-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

3217 Reliable Pkwy
Chicago, IL 60686-0001
Phone (706) 650-0705

Other identifiers 3

IdentifierTypeStateIssuer
100021480MedicaidIN
74900432MedicaidKY
65917841MedicaidKY

National Provider Directory

National Provider Directory

Locations

3217 Reliable Pkwy
Chicago, IL 60686

226 Holiday Mnr
Louisville, KY 40289
Phone (502) 583-7778

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220659200000",
    "number": "1194775239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "706-650-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIC ANESTHESIA CONSULTANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-09-06",
        "status": "A",
        "authorized_official_last_name": "JUNEJA",
        "authorized_official_first_name": "MUSHTAQUE",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "502-629-2880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900432",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65917841",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.