NPIMap

Organization Active NPI

Elite Anesthesia Concepts Inc

  • Anesthesiology Physician
  • Castle Rock, CO
National Provider Identifier
1215049804
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28453 Issued in CO
Legal business name
ELITE ANESTHESIA CONCEPTS INC
Practice address
2909 Canon Ridge Rd
Castle Rock, CO 80104-5415
Phone
(303) 663-9118
Fax
(707) 221-0521
NPI assigned
Aug 31, 2006
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Bernd G Lauber, MDNPI 1073588638
Title
President
Phone
(303) 663-9118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 28453 CO Primary

Addresses

Primary practice location

2909 Canon Ridge Rd
Castle Rock, CO 80104-5415

Mailing address

PO Box 974856
Dallas, TX 75397-0001
Phone (888) 363-3318

Other identifiers 1

IdentifierTypeStateIssuer
37870734MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000086 CO Part B Supplier - Clinic/Group Practice 6507964251 Receives reassigned benefits from 15 practitioners
Practice locations: Lone Tree, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1215049804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974856",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753970001",
            "telephone_number": "888-363-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 CANON RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801045415",
            "telephone_number": "303-663-9118",
            "fax_number": "707-221-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ANESTHESIA CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "LAUBER",
        "authorized_official_first_name": "BERND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-663-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "28453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37870734",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.