Organization Active NPI

Tarrant Anesthesia, PA

  • Anesthesiology Physician
  • Burleson, TX
National Provider Identifier
1245343995
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Phillip T Evans, D.O.NPI 1144231887
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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00NN42OtherTXBCBS
00C75TOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.