Organization Active NPI

Reliable Anesthezia and Pain Management Services PSC

  • Anesthesiology Physician
  • Martinsville, IN
National Provider Identifier
1356414197
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01062928A Issued in IN
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1205984366OtherINSKRISTIANSEN NPI#
1285743310OtherINROESTERLING NPI#
1073566097OtherINCMUNDELIUS NPI#
1780602094OtherINTRENT MILLER MD NPI#
1912992124OtherINDWHITAKER NPI#
1598825762OtherINMARANT NPI#

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.