Organization Active NPI

Metro Anesthesia, PLLC

  • Anesthesiology Physician
  • Ridgeland, MS
National Provider Identifier
1487080396
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
METRO ANESTHESIA, PLLC
Practice address
204 Valley Rd
Ridgeland, MS 39157-9105
Phone
(334) 279-1450
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Lisa M Davis
Title
VP, HR
Phone
(334) 279-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

204 Valley Rd
Ridgeland, MS 39157-9105

Mailing address

204 Valley Rd
Ridgeland, MS 39157-9105
Phone (334) 279-1450

National Provider Directory

National Provider Directory

Locations

1026 Riv Oaks Dr
Flowood, MS 39232
Phone (601) 932-1000

760 Lakeland Dr
Jackson, MS 39216
Phone (601) 362-8700

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1487080396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 VALLEY RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579105",
            "telephone_number": "334-279-1450",
            "fax_number": "334-395-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 VALLEY RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579105",
            "telephone_number": "334-279-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, HR",
        "authorized_official_telephone_number": "334-279-1450"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.