Organization Active NPI

Kan Anesthesia,LLC

  • Specialist
  • Naples, FL
National Provider Identifier
1215326566
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME96802 Issued in FL
Legal business name
KAN ANESTHESIA,LLC
Doing business as
Kan Anesthesia,LLC
Practice address
3439 Pine Ridge Rd
Naples, FL 34109-3884
Phone
(727) 734-6932
Fax
(727) 734-4516
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Dr. Prathima Moorthy, M.D.NPI 1164537973
Title
President
Phone
(727) 734-6932

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME96802 FL Primary

Addresses

Primary practice location

3439 Pine Ridge Rd
Naples, FL 34109-3884

Mailing address

3439 Pine Ridge Rd
Naples, FL 34109-3884
Phone (727) 734-6932

Other names 1

  • KAN ANESTHESIA,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1215326566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093884",
            "telephone_number": "727-734-6932",
            "fax_number": "727-734-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093884",
            "telephone_number": "727-734-6932",
            "fax_number": "727-734-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN ANESTHESIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "PRATHIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-734-6932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME96802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAN ANESTHESIA,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.