Organization Active NPI

Metro East Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Belleville, IL
National Provider Identifier
1356760946
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041410707 Issued in IL
Legal business name
METRO EAST ANESTHESIA LLC
Practice address
311 W Lincoln St
Ste 101
Belleville, IL 62220-1902
Phone
(618) 222-3200
Fax
(618) 222-3203
NPI assigned
Apr 10, 2014
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
METRO EAST GASTROENTEROLOGY LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Aaron B Greenspan, MD
Title
President
Phone
(618) 222-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 041410707 IL Primary

Addresses

Primary practice location

311 W Lincoln St
Ste 101
Belleville, IL 62220-1902

Mailing address

311 W Lincoln St
Ste 101
Belleville, IL 62220-1902
Phone (618) 222-3200

National Provider Directory

National Provider Directory
Part of
Metro East Gastroenterology

Locations

311 W Lincoln St
Ste 300
Belleville, IL 62220
Phone (618) 233-7077

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1356760946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST",
            "address_2": "STE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "618-222-3200",
            "fax_number": "618-222-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W LINCOLN ST",
            "address_2": "STE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201902",
            "telephone_number": "618-222-3200",
            "fax_number": "618-222-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST ANESTHESIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO EAST GASTROENTEROLOGY LTD.",
        "enumeration_date": "2014-04-10",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-222-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041410707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.