Active NPI
Mid-Columbia Anesthesia, PLLC
- Anesthesiology Physician
- Richland, WA
National Provider Identifier
1477501757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MID-COLUMBIA ANESTHESIA, PLLC
- Practice address
- 888 Swift Blvd
Richland, WA 99352-3514 - Phone
- (509) 946-4611
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Hannan, DO
- Title
- President
- Phone
- (503) 372-2740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
888 Swift Blvd
Richland, WA 99352-3514
Mailing address
PO Box 34940
Seattle, WA 98124-1940
Phone (503) 372-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7125123 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477501757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34940",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241940",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523514",
"telephone_number": "509-946-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-COLUMBIA ANESTHESIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANNAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-372-2740",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7125123",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.