Sycamore Anesthesia Services, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SYCAMORE ANESTHESIA SERVICES, LLC

Practice address

1421 N 7TH St
Terre Haute, IN 47807-1005

Phone

(812) 231-4608

Fax

(812) 231-4675

NPI assigned

Dec 11, 2006

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas M Pendergast, M.D.NPI 1407849094

Title

Owner

Phone

(812) 231-4608

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Thomas Pendergast, M.D.

  • Anesthesiology Physician
  • Terre Haute, IN
  • NPI 1407849094
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1336209303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3036",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063036",
            "telephone_number": "812-231-4608",
            "fax_number": "812-231-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071005",
            "telephone_number": "812-231-4608",
            "fax_number": "812-231-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-231-4608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christa Sutton, LCSW
• Miwako Suzuki
• Ashley Swearingen, PHARM.D.
• Makayla Swearingen, RBT
• Karen Switzer
• Sasha Syed
• Mariah Szekely, RBT
• Jeanna Tabrizi, NP
• Debra Tague, FNP-C
• Shigeru Takeuchi, ATC

• Pain Medicine (Anesthesiology) Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.