NPIMap

Organization Active NPI

Eag Healthcare LLC

Doing business as Ethos Anesthesia

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1457640278
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EAG HEALTHCARE LLC
Doing business as
Ethos Anesthesia
Practice address
4330 Gaines Ranch Loop
Suite 220
Austin, TX 78735-6733
Phone
(512) 551-0808
Fax
(512) 782-2215
NPI assigned
Apr 1, 2011
Last updated
Feb 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Ms. Mary Monahan
Title
Vice President
Phone
(512) 551-0808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4330 Gaines Ranch Loop
Suite 220
Austin, TX 78735-6733

Mailing address

4330 Gaines Ranch Loop
Suite 220
Austin, TX 78735-6733
Phone (512) 551-0808

Other names 1

  • Ethos Anesthesia Doing business as

National Provider Directory

National Provider Directory

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1457640278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GAINES RANCH LOOP",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356733",
            "telephone_number": "512-551-0808",
            "fax_number": "512-782-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GAINES RANCH LOOP",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356733",
            "telephone_number": "512-551-0808",
            "fax_number": "512-782-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-551-0808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.