Active NPI
Rogue Anesthesia LLC
- Ambulatory Surgical Clinic/Center
- Grants Pass, OR
National Provider Identifier
1396040598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 082010407CRNA
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Grants Pass, OR
- NPI 1043248917
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.