NPIMap

Organization Active NPI

Cobalt Blue Anesthesia LLC

  • Anesthesiology Physician
  • Waxahachie, TX
National Provider Identifier
1467820100
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COBALT BLUE ANESTHESIA LLC
Practice address
1324 Brown St
#600
Waxahachie, TX 75165-1421
Phone
(972) 937-4000
Fax
(972) 668-7467
NPI assigned
Sep 11, 2015
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Melinda Miller, CRNANPI 1336141001
Title
Sole Member
Phone
(972) 668-7460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1324 Brown St
#600
Waxahachie, TX 75165-1421

Mailing address

PO Box T
Waxahachie, TX 75168-1107
Phone (972) 668-7460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1467820100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX T",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751681107",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BROWN ST",
            "address_2": "#600",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651421",
            "telephone_number": "972-937-4000",
            "fax_number": "972-668-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBALT BLUE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "972-668-7460",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.