Organization Active NPI

Rogue Anesthesia LLC

  • Ambulatory Surgical Clinic/Center
  • Grants Pass, OR
National Provider Identifier
1396040598
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
082010407CRNA Issued in OR
Legal business name
ROGUE ANESTHESIA LLC
Practice address
1601 NW Hawthorne Ave
Grants Pass, OR 97526-1041
Phone
(541) 472-4882
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Ms. Frances Carol Young, CRNA
Title
Staff Anesthetist
Phone
(541) 472-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 082010407CRNA OR Primary

Addresses

Primary practice location

1601 NW Hawthorne Ave
Grants Pass, OR 97526-1041

Mailing address

1601 NW Hawthorne Ave
Grants Pass, OR 97526-1041
Phone (541) 472-4882

National Provider Directory

National Provider Directory
Tax ID family
Rogue Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1396040598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW HAWTHORNE AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261041",
            "telephone_number": "541-472-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW HAWTHORNE AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261041",
            "telephone_number": "541-472-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "STAFF ANESTHETIST",
        "authorized_official_telephone_number": "541-472-4882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "082010407CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.