NPIMap

Organization Active NPI

BG Anesthesia, P.a.

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1316097975
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BG ANESTHESIA, P.A.
Practice address
6812 Wayne Ave Ste E
Lubbock, TX 79424-1633
Phone
(806) 799-2093
Fax
(806) 783-0277
NPI assigned
Jan 12, 2007
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Dr. William J Davis, M.D.NPI 1053331355
Title
President
Phone
(806) 799-2093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

6812 Wayne Ave Ste E
Lubbock, TX 79424-1633

Mailing address

6812 Wayne Ave Ste E
Lubbock, TX 79424-1633
Phone (806) 799-2093

Other identifiers 1

IdentifierTypeStateIssuer
094925701MedicaidTX

National Provider Directory

National Provider Directory

Locations

6202 Iola Ave
Ste 101
Lubbock, TX 79424
Phone (806) 799-2093

6812 Wayne Ave
Ste E
Lubbock, TX 79424
Phone (806) 794-3950

Practitioners & affiliated clinicians

Practitioners 9

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1316097975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 WAYNE AVE STE E",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241633",
            "telephone_number": "806-799-2093",
            "fax_number": "806-783-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 WAYNE AVE STE E",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241633",
            "telephone_number": "806-799-2093",
            "fax_number": "806-783-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG ANESTHESIA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-799-2093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094925701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.