Patriot Anesthesia LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

75945 Issued in OK

Legal business name

PATRIOT ANESTHESIA LLC

Practice address

1800 W University Blvd
Durant, OK 74701-3006

Phone

(405) 926-7348

Fax

(405) 207-9956

NPI assigned

Nov 15, 2010

Organization subpart

No

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

Authorized official

Name

James Martin Bashaw, CRNA

Title

President

Phone

(405) 926-7348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1346541869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35907 E COUNTY ROAD 1600",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730759070",
            "telephone_number": "405-926-7348",
            "fax_number": "405-207-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013006",
            "telephone_number": "405-926-7348",
            "fax_number": "405-207-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "BASHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-926-7348",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "75945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Diann Parsons
• Billie Sue Paskin
• Justin Aaron Rivera Patawaran, DO
• Karen Pate, CM 1
• Pathways of Oklahoma Inc
• Lance A Patterson, P.T.
• Stacy Marie Patterson
• Stormy M Patterson
• Thuresa Gaylene Patterson, PHYSICAL THERAPIS
• Tiffany Deann Patterson

• Pain Medicine (Anesthesiology) Physician in Durant, OK
• Providers in Durant, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.