Organization Active NPI

LD Anesthesia Consultants, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1366937013
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LD ANESTHESIA CONSULTANTS, PLLC
Practice address
5902 Goliad Ave
Dallas, TX 75206-6820
Phone
(214) 988-9188
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Louis Degironemo, MDNPI 1972732642
Title
Principal
Phone
(214) 988-9188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

5902 Goliad Ave
Dallas, TX 75206-6820

Mailing address

5902 Goliad Ave
Dallas, TX 75206-6820
Phone (214) 988-9188

Other identifiers 1

IdentifierTypeStateIssuer
Q0036OtherTXLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1366937013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 GOLIAD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066820",
            "telephone_number": "214-988-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 GOLIAD AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066820",
            "telephone_number": "214-988-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD ANESTHESIA CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "DEGIRONEMO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "214-988-9188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "Q0036",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.