NPIMap

Organization Active NPI

Anesthesiology Assoc. of Clark County Inc.

  • Anesthesiology Physician
  • Jeff, IN
National Provider Identifier
1376592238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIOLOGY ASSOC. OF CLARK COUNTY INC.
Practice address
1035 Wall St
Ste 101
Jeff, IN 47130-3612
Phone
(812) 282-2072
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Francis Duque, MD
Title
Head of Group
Phone
(812) 282-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1035 Wall St
Ste 101
Jeff, IN 47130-3612

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

National Provider Directory

National Provider Directory

Locations

1035 Wall St
Ste 101
Jeffersonvlle, IN 47130
Phone (812) 282-2072

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376592238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WALL ST",
            "address_2": "STE 101",
            "city": "JEFF",
            "state": "IN",
            "postal_code": "471303612",
            "telephone_number": "812-282-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY ASSOC. OF CLARK COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "812-282-2072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeff, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.