Active NPI
Reliable Anesthezia and Pain Management Services PSC
- Anesthesiology Physician
- Martinsville, IN
National Provider Identifier
1356414197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01062928A
- Legal business name
- RELIABLE ANESTHEZIA AND PAIN MANAGEMENT SERVICES PSC
- Practice address
- 2209 John R Wooden Dr
Martinsville, IN 46151-1840 - Phone
- (765) 342-8441
- NPI assigned
- Nov 17, 2006
- Last updated
- Mar 11, 2008
- 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
- Maria Bonham
- Title
- Practice Manager
- Phone
- (317) 258-2873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01062928A | IN | Primary |
Addresses
Primary practice location
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Mailing address
PO Box 501063
Indianapolis, IN 46250-6063
Phone (317) 258-2873
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205984366 | Other | IN | SKRISTIANSEN NPI# |
| 1285743310 | Other | IN | ROESTERLING NPI# |
| 1073566097 | Other | IN | CMUNDELIUS NPI# |
| 1780602094 | Other | IN | TRENT MILLER MD NPI# |
| 1912992124 | Other | IN | DWHITAKER NPI# |
| 1598825762 | Other | IN | MARANT NPI# |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Seymour, IN
- NPI 1811008238
-
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
- NPI 1336192376
-
- Certified Registered Nurse Anesthetist
- Evansville, IN
- NPI 1912992124
-
- Certified Registered Nurse Anesthetist
- West Point, NY
- NPI 1578742714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1356414197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501063",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462506063",
"telephone_number": "317-258-2873",
"fax_number": "866-588-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 JOHN R WOODEN DR",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511840",
"telephone_number": "765-342-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLE ANESTHEZIA AND PAIN MANAGEMENT SERVICES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "BONHAM",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "317-258-2873"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01062928A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SKRISTIANSEN NPI#",
"identifier": "1205984366",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROESTERLING NPI#",
"identifier": "1285743310",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMUNDELIUS NPI#",
"identifier": "1073566097",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRENT MILLER MD NPI#",
"identifier": "1780602094",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DWHITAKER NPI#",
"identifier": "1912992124",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARANT NPI#",
"identifier": "1598825762",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.