NPIMap

Organization Active NPI

Anesthesia Services of Wilson County PLLC

  • Anesthesiology Physician
  • Lebanon, TN
National Provider Identifier
1295769495
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA SERVICES OF WILSON COUNTY PLLC
Practice address
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone
(813) 287-5718
Fax
(813) 287-5728
NPI assigned
Jul 11, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Carol Katz
Title
Coo
Phone
(813) 287-5718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1411 W Baddour Pkwy
Lebanon, TN 37087-2513

Mailing address

5404 Hoover Blvd
Ste 20
Tampa, FL 33634-5333
Phone (813) 287-5718

National Provider Directory

National Provider Directory

Locations

5020 W Cypress St
Ste 212
Tampa, FL 33607

5404 Hoover Blvd
Ste 20
Tampa, FL 33634

Practitioners & affiliated clinicians

Practitioners 4

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1295769495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 HOOVER BLVD",
            "address_2": "STE 20",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345333",
            "telephone_number": "813-287-5718",
            "fax_number": "813-287-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "813-287-5718",
            "fax_number": "813-287-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA SERVICES OF WILSON COUNTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-287-5718"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.