Organization Active NPI

Dubois Anesthesia Associates, PC

  • Anesthesiology Physician
  • Huntingburg, IN
National Provider Identifier
1366560450
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
50003382A Issued in IN
Legal business name
DUBOIS ANESTHESIA ASSOCIATES, PC
Practice address
2511 W 900S
Huntingburg, IN 47542-9628
Phone
(812) 683-1500
Fax
(812) 683-1600
NPI assigned
Mar 27, 2007
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mrs. Leisa E Lowrey
Title
Corporation Secretary
Phone
(812) 683-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 50003382A IN Primary

Addresses

Primary practice location

2511 W 900S
Huntingburg, IN 47542-9628

Mailing address

2511 W 900S
Huntingburg, IN 47542-9628
Phone (812) 683-1500

Other identifiers 2

IdentifierTypeStateIssuer
100103050AMedicaidIN
65926172MedicaidKY

National Provider Directory

National Provider Directory

Locations

2511 W 900S
Huntingburg, IN 47542
Phone (812) 683-1500

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1366560450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W 900S",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429628",
            "telephone_number": "812-683-1500",
            "fax_number": "812-683-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W 900S",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429628",
            "telephone_number": "812-683-1500",
            "fax_number": "812-683-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "LOWREY",
        "authorized_official_first_name": "LEISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "812-683-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "50003382A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103050A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926172",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingburg, IN

Sources for this page

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