Empire Anesthesiology, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

EMPIRE ANESTHESIOLOGY, LLC

Practice address

2502 E Empire St Ste B
Bloomington, IL 61704-3739

Phone

(309) 662-6120

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Parker Jain, D.O.

Title

President

Phone

(309) 268-9300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437172830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST STE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043739",
            "telephone_number": "309-662-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST STE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043739",
            "telephone_number": "309-662-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE ANESTHESIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PARKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-268-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.