Gatorbait Anesthesia, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP123287 Issued in TX

Legal business name

GATORBAIT ANESTHESIA, PLLC

Practice address

500 W 4TH St
Odessa, TX 79761-5001

Phone

(901) 937-9961

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Robert Parker, CRNA

Title

Owner

Phone

(901) 937-9961

Specialties & licenses 1

Addresses

Other names 1

• Gatorbait Anesthesia Other name

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1497145239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044157",
            "telephone_number": "432-699-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615001",
            "telephone_number": "901-937-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATORBAIT ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-937-9961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatorbait Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrian Apolonio Garza, PTA
• Denise Garza
• Katie Elizabeth Garza, SLP
• Maranda Pina Garza
• Ryan Rey Garza, PT
• Matthew Christian Geiman, O.D.
• Albino Oshiro Gelera Jr., NP
• Philip A Gentile, PA
• Timothy Kilian George, M.D.
• John Georgy, MD

• Certified Registered Nurse Anesthetist in Odessa, TX
• Providers in Odessa, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.