Canon Anesthesia Services, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

45130 Issued in CO

Legal business name

CANON ANESTHESIA SERVICES, INC

Practice address

933 Sells Ave
Canon City, CO 81212-4900

Phone

(719) 275-6433

NPI assigned

Jul 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry McMillenNPI 1891721122

Title

President

Phone

(719) 276-2029

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Larry Steven McMillen, CRNA

  • Certified Registered Nurse Anesthetist
  • Canon City, CO
  • NPI 1891721122
  Authorized official Same address or phone

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295750487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 GARDEN PARK RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SELLS AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124900",
            "telephone_number": "719-275-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON ANESTHESIA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-276-2029"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "45130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cain
• Camelot Health Care, Inc. (Valley View Care Center)
• Camelot Health Care, Inc. (Valley View Health Care Center)
• Elizabeth A Canda, LPTA
• Jeanne Anne Canda
• Canon Chiropractic LLC
• Canon City Co Multi Specialty ASC LLC (Arkansas Valley Surgery Center)
• Canon City Counseling & Psychotherapy Services
• Canon City Counseling, Inc
• Canon City Dental & Implants, PC

• Certified Registered Nurse Anesthetist in Canon City, CO
• Providers in Canon City, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.