Active NPI
Mountain Anesthesia LLC
- Anesthesiology Physician
- Casper, WY
National Provider Identifier
1326435157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 10068A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryNPI 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.