Organization Active NPI

Mountain Anesthesia LLC

  • Anesthesiology Physician
  • Casper, WY
National Provider Identifier
1326435157
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10068A Issued in WY
Legal business name
MOUNTAIN ANESTHESIA LLC
Practice address
1233 E 2ND St
Casper, WY 82601-2926
Phone
(307) 577-7201
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Dustin James Roberts, M.D.
Title
Anesthesiologist/Manager
Phone
(757) 642-3235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 10068A WY Primary

Addresses

Primary practice location

1233 E 2ND St
Casper, WY 82601-2926

Mailing address

620 Warren Ave
Chesapeake, VA 23322-3827

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1326435157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WARREN AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012926",
            "telephone_number": "307-577-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST/MANAGER",
        "authorized_official_telephone_number": "757-642-3235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "10068A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.