NPIMap

Organization Active NPI

Giles County Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Pulaski, TN
National Provider Identifier
1295811073
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GILES COUNTY ANESTHESIA PC
Practice address
1265 E College St
Pulaski, TN 38478-4541
Phone
(931) 363-7531
NPI assigned
Oct 27, 2006
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Enrique Molina, CRNANPI 1497831291
Title
Partner
Phone
(615) 620-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

1265 E College St
Pulaski, TN 38478-4541

Mailing address

PO Box 440401
Nashville, TN 37244-0401
Phone (615) 620-2320

Other identifiers 2

IdentifierTypeStateIssuer
3627394MedicaidTN
4008583OtherTNBLUE CROSS/BLUE SHIELD OF TN

National Provider Directory

National Provider Directory

Locations

500 Professional Park Dr
Goodlettsvlle, TN 37072
Phone (615) 269-7751

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1295811073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440401",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784541",
            "telephone_number": "931-363-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILES COUNTY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-620-2320",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3627394",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF TN",
            "identifier": "4008583",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.