Active NPI
Professional Anesthesia Associates, Inc
- Anesthesiology Physician
- East Hartford, CT
National Provider Identifier
1265465751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PROFESSIONAL ANESTHESIA ASSOCIATES, INC
- Practice address
- 111 Founders PLZ
#300 C/O Ipms
East Hartford, CT 06108-3212 - Phone
- (860) 282-4022
- Fax
- (860) 282-0834
- NPI assigned
- Jul 8, 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
- Dr. Raymond J Anton, M.D.
- Title
- Sole Proprietor
- Phone
- (860) 282-4022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
111 Founders PLZ
#300 C/O Ipms
East Hartford, CT 06108-3212
Mailing address
111 Founders PLZ
#300 C/O Ipms
East Hartford, CT 06108-3212
Phone (860) 282-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001158642 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
111 Founders Plz
Ste 300
East Hartford, CT 06108
Phone (860) 282-4022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233187200000",
"number": "1265465751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLZ",
"address_2": "#300 C/O IPMS",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083212",
"telephone_number": "860-282-4022",
"fax_number": "860-282-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLZ",
"address_2": "#300 C/O IPMS",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083212",
"telephone_number": "860-282-4022",
"fax_number": "860-282-0834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ANESTHESIA ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2009-01-29",
"status": "A",
"authorized_official_last_name": "ANTON",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "860-282-4022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001158642",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.