NPIMap

Organization Active NPI

Galesburg Anesthesiology, S.C.

  • Anesthesiology Physician
  • Galesburg, IL
National Provider Identifier
1477504009
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036116553 Issued in IL
Legal business name
GALESBURG ANESTHESIOLOGY, S.C.
Practice address
695 N Kellogg St
Galesburg, IL 61401-2807
Phone
(309) 343-8131
Fax
(309) 343-6577
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Sean K Kane, M.D.NPI 1609899822
Title
Owner
Phone
(309) 343-0557

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 036116553 IL Primary

Addresses

Primary practice location

695 N Kellogg St
Galesburg, IL 61401-2807

Mailing address

1048 E Losey St
Galesburg, IL 61401-3874
Phone (309) 343-0557

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1477504009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 E LOSEY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614013874",
            "telephone_number": "309-343-0557",
            "fax_number": "309-343-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-8131",
            "fax_number": "309-343-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG ANESTHESIOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-343-0557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036116553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.