DSW Anesthesia Services LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C01497 Issued in AR

Legal business name

DSW ANESTHESIA SERVICES LLC

Practice address

3002 Rogers Ave
Fort Smith, AR 72901-4232

Phone

(479) 785-2555

Fax

(479) 785-3555

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Donovan S Willis, CRNA

Title

Owner

Phone

(479) 462-2859

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1447490446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11405",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171405",
            "telephone_number": "479-785-2555",
            "fax_number": "479-785-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-785-2555",
            "fax_number": "479-785-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSW ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-462-2859",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C01497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Driver, MHPP
• Eric Eugene Drolshagen, MD
• Leo Frances Drolshagen, MD
• Brittney Drost, LAC
• Jennifer Lynn Drouillard, SLP
• Kirk Duboise
• Dubuis Health System, Inc.
• Kenny Duff
• Andrew Marcus Dugan, AGACNP-BC
• Sandra Kay Dugan

• All providers in Fort Smith, AR
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.