Organization Active NPI

Asag, Inc.

  • Certified Registered Nurse Anesthetist
  • Mountain Home, AR
National Provider Identifier
1467588541
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ASAG, INC.
Practice address
160 Hwy 201 North
Mountain Home, AR 72653
Phone
(870) 508-2100
Fax
(870) 508-2150
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Paula N Stork, CRNA
Title
Crna
Phone
(870) 435-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

160 Hwy 201 North
Mountain Home, AR 72653

Mailing address

PO Box 434
Gassville, AR 72635-0434
Phone (870) 435-4477

Other identifiers 1

IdentifierTypeStateIssuer
5F724OtherARMEDICARE PROVIDER NUMBER

Other names 1

  • Ambulatory Surgery Anesthesia Group. Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1467588541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726350434",
            "telephone_number": "870-435-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HWY 201 NORTH",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-508-2100",
            "fax_number": "870-508-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "870-435-4477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "5F724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgery Anesthesia Group. Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.