Active NPI
Tarrant Anesthesia, PA
- Anesthesiology Physician
- Burleson, TX
National Provider Identifier
1245343995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TARRANT ANESTHESIA, PA
- Practice address
- 12001 S. Fwy
Suite 101
Burleson, TX 76028 - Phone
- (817) 615-4400
- NPI assigned
- Aug 16, 2006
- 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
- Phillip T Evans, D.O.
- Title
- Doctor
- Phone
- (817) 294-7444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
12001 S. Fwy
Suite 101
Burleson, TX 76028
Mailing address
PO Box 11219
Fort Worth, TX 76110-0219
Phone (817) 294-7444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NN42 | Other | TX | BCBS |
| 00C75T | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
12001 South Fwy
Burleson, TX 76028
Phone (817) 615-4400
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1144231887
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1760493449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1245343995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11219",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761100219",
"telephone_number": "817-294-7444",
"fax_number": "817-294-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 S. FWY",
"address_2": "SUITE 101",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-615-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARRANT ANESTHESIA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "817-294-7444",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00NN42",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00C75T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.