Active NPI
Spectrum Anesthesia & Pain Management Services, S.C.
- Certified Registered Nurse Anesthetist
- Billings, MT
National Provider Identifier
1205103306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 40364
- Legal business name
- SPECTRUM ANESTHESIA & PAIN MANAGEMENT SERVICES, S.C.
- Practice address
- 1739 Spring Creek Lane Suite 100
Billings, MT 59102 - Phone
- (615) 301-8143
- Fax
- (615) 301-8152
- NPI assigned
- Nov 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew B Baker, CRNA
- Title
- President
- Phone
- (262) 787-4026
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 40364 | MT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 20840 | WY |
Addresses
Primary practice location
1739 Spring Creek Lane Suite 100
Billings, MT 59102
Mailing address
225 S Executive Dr
Brookfield, WI 53005-4257
Phone (262) 787-4026
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1205103306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054257",
"telephone_number": "262-787-4026",
"fax_number": "262-782-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 SPRING CREEK LANE SUITE 100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "615-301-8143",
"fax_number": "615-301-8152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM ANESTHESIA & PAIN MANAGEMENT SERVICES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "262-787-4026",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "40364",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WY",
"license": "20840",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.