Organization Active NPI

Ozarks Anesthesia Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • West Plains, MO
National Provider Identifier
1356444806
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD 102941 Issued in MO
Legal business name
OZARKS ANESTHESIA ASSOCIATES LLC
Practice address
1390 Bill Virdon Blvd
West Plains, MO 65775-3383
Phone
(417) 256-2225
Fax
(417) 256-2373
NPI assigned
Sep 7, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Lisa Brassfield
Title
Office Manager
Phone
(417) 256-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD 102941 MO Primary

Addresses

Primary practice location

1390 Bill Virdon Blvd
West Plains, MO 65775-3383

Mailing address

1390 Bill Virdon Blvd
West Plains, MO 65775-3383
Phone (417) 256-2225

Other identifiers 1

IdentifierTypeStateIssuer
501035703MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1356444806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 BILL VIRDON BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753383",
            "telephone_number": "417-256-2225",
            "fax_number": "417-256-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 BILL VIRDON BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657753383",
            "telephone_number": "417-256-2225",
            "fax_number": "417-256-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-256-2225"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "MD 102941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501035703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.