Organization Active NPI

Pro Med Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1316260318
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRO MED ANESTHESIA CONSULTANTS PLLC
Practice address
6356 Malcolm Dr
Dallas, TX 75214-3022
Phone
(214) 550-5399
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Kimberly R Sivaraman
Title
Manager
Phone
(214) 550-5399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

6356 Malcolm Dr
Dallas, TX 75214-3022

Mailing address

PO Box 8
Little Elm, TX 75068-0008
Phone (214) 550-5399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1316260318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680008",
            "telephone_number": "214-550-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 MALCOLM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143022",
            "telephone_number": "214-550-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED ANESTHESIA CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-550-5399"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.