NPIMap

Organization Active NPI

Alliance Anesthesia Associates, PA

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1376592329
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ALLIANCE ANESTHESIA ASSOCIATES, PA
Practice address
750 12TH Ave
Dept of Anesthesiology
Fort Worth, TX 76104-2517
Phone
(817) 529-1920
Fax
(817) 334-0235
NPI assigned
May 8, 2006
Last updated
Dec 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Elizabeth Beard
Title
Client Liason
Phone
(817) 334-0530

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

750 12TH Ave
Dept of Anesthesiology
Fort Worth, TX 76104-2517

Mailing address

PO Box 161785
Fort Worth, TX 76161-1785
Phone (817) 529-1920

Other identifiers 1

IdentifierTypeStateIssuer
161648401MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1376592329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161785",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611785",
            "telephone_number": "817-529-1920",
            "fax_number": "817-334-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 12TH AVE",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042517",
            "telephone_number": "817-529-1920",
            "fax_number": "817-334-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ANESTHESIA ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLIENT LIASON",
        "authorized_official_telephone_number": "817-334-0530"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161648401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.