Organization Active NPI

New-Brooke Anesthesiologist, P.C..

  • Anesthesiology Physician
  • New Albany, IN
National Provider Identifier
1396925038
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEW-BROOKE ANESTHESIOLOGIST, P.C..
Practice address
1964 State St Ste 2
New Albany, IN 47150-4943
Phone
(812) 949-9918
Fax
(812) 941-0289
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Nieves Cortes Antonio, M.D.NPI 1942302120
Title
Secretary
Phone
(812) 949-9918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1964 State St Ste 2
New Albany, IN 47150-4943

Mailing address

1964 State St Ste 2
New Albany, IN 47150-4943
Phone (812) 949-9918

National Provider Directory

National Provider Directory

Locations

1964 State St
Ste 2
New Albany, IN 47150
Phone (812) 949-9918

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1396925038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 STATE ST STE 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504943",
            "telephone_number": "812-949-9918",
            "fax_number": "812-941-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 STATE ST STE 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504943",
            "telephone_number": "812-949-9918",
            "fax_number": "812-941-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW-BROOKE ANESTHESIOLOGIST, P.C..",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "NIEVES",
        "authorized_official_middle_name": "CORTES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "812-949-9918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.