NPIMap

Organization Active NPI

SW Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1306319769
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SW ANESTHESIA LLC
Practice address
12345 W Bend Dr Ste 201
Saint Louis, MO 63128-2254
Phone
(314) 722-2530
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Oliver Wolfe, MDNPI 1548399553
Title
Owner
Phone
(908) 653-9399

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

12345 W Bend Dr Ste 201
Saint Louis, MO 63128-2254

Mailing address

12345 W Bend Dr Ste 201
Saint Louis, MO 63128-2254
Phone (314) 722-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304000483 MO Part B Supplier - Clinic/Group Practice 6204175649 Receives reassigned benefits from 42 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

12345 W Bend Dr
Ste 200
Saint Louis, MO 63128
Phone (314) 843-8000

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1306319769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282254",
            "telephone_number": "314-722-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282254",
            "telephone_number": "314-722-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-653-9399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.