Organization Active NPI

Western Anesthesia, PLLC

  • Anesthesiology Physician
  • Cedar Park, TX
National Provider Identifier
1467013987
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTERN ANESTHESIA, PLLC
Practice address
1464 E Whitestone Blvd Ste 601
Cedar Park, TX 78613-9066
Phone
(512) 772-1677
Fax
(512) 772-1692
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Cynthia Rudd
Title
Director of RCM
Phone
(602) 540-7992

Specialties & licenses 1

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

Addresses

Primary practice location

1464 E Whitestone Blvd Ste 601
Cedar Park, TX 78613-9066

Mailing address

100 S McClintock Dr Ste 100
Chandler, AZ 85226-4816
Phone (602) 481-7369

Other practice location 1

1302 South Stanton Street
El Paso, TX 79902
Phone (512) 772-1677

Other names 1

  • Cedar Park 1, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1464 E Whitestone Blvd
Ste 601
Cedar Park, TX 78613
Phone (512) 535-3355

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1467013987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MCCLINTOCK DR STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264816",
            "telephone_number": "602-481-7369",
            "fax_number": "480-452-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 601",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139066",
            "telephone_number": "512-772-1677",
            "fax_number": "512-772-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 SOUTH STANTON STREET",
            "address_purpose": "LOCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "country_code": "US",
            "telephone_number": "512-772-1677",
            "fax_number": "512-772-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "602-540-7992"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Park 1, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.