Anesthesia Associates of Laporte PC

Organization Active NPI Anesthesiology Physician · La Porte, IN

NPI 1235455429 · NPPES record last updated Jun 24, 2024

Key facts

NPI
1235455429
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
ANESTHESIA ASSOCIATES OF LAPORTE PC
Practice address
1331 State St
La Porte, IN 46350-3112
Phone
(219) 326-1234
Fax
(317) 324-1012
NPI assigned
Apr 13, 2010
Organization subpart
No

Authorized official

Name
Dr. Richard Gnaedinger, MD
Title
Owner
Phone
(773) 343-1485

Practitioners 22

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100623000427 IN Part B Supplier - Clinic/Group Practice 3779614508 Receives reassigned benefits from 20 practitioners
Practice locations: Knox, IN; La Porte, IN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X IN Yes

Addresses

Primary practice location

1331 State St
La Porte, IN 46350-3112

Mailing address

PO Box 2404
Indianapolis, IN 46206-2404
Phone (317) 324-1012

Other providers in La Porte, IN

All providers in La Porte, IN · Anesthesiology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.