Martin Anesthesia PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

55455 Issued in KS

Legal business name

MARTIN ANESTHESIA PA

Practice address

200 Commodore St
Pratt, KS 67124-2903

Phone

(620) 672-7451

NPI assigned

Aug 8, 2007

Last updated

Jan 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Andrew Martin, CRNANPI 1972578961

Title

President

Phone

(316) 320-9177

Specialties & licenses 1

Addresses

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.

• Brett Andrew Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Pratt, KS
  • NPI 1972578961
  Authorized official Same address or phone

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1386835734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMODORE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242903",
            "telephone_number": "620-672-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-320-9177",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Liggett, LMSW
• Kole Robert Lopez, DDS
• Lotus Anesthesia LLC
• Lotus Anesthesia Services, LLC
• Main Street Dental, LLC
• Bethany Marie Martin, RN, IBCLC
• Brett Andrew Martin, CRNA
• Jennifer L Martinez, PA
• John D Mathes, DDS
• Debora Sue May, MS, CCC-SLP

• Certified Registered Nurse Anesthetist in Pratt, KS
• Providers in Pratt, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.