Anesthesia4U, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ANESTHESIA4U, PC

Practice address

1610 Dry Creek Dr
Longmont, CO 80503-6405

Phone

(303) 772-1600

NPI assigned

May 14, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rostislav Pavlik, MD

Title

Owner

Phone

(855) 201-9056

Specialties & licenses 1

Addresses

Other names 1

• Rostislav Pavlik Other name

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1497329460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "855-201-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "303-772-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA4U, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "PAVLIK",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-201-9056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rostislav Pavlik",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rostislav Pavlik",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Anesthesiology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.