Anesthesia4U, PC – Anesthesiology Physician

Key facts

NPI: 1497329460
Entity type: Organization (NPI type 2)
Primary specialty: Anesthesiology Physician 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
Organization subpart: No

Authorized official

Name: Rostislav Pavlik, MD
Title: Owner
Phone: (855) 201-9056

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	207L00000X			Yes

Addresses

Primary practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Mailing address

PO Box 29650
Phoenix, AZ 85038-9650
Phone (855) 201-9056

Other names

Rostislav Pavlik Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2021.

{
    "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": "193400000X MULTIPLE SINGLE SPECIALTY 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"
        }
    ]
}

Other providers in Longmont, CO

All providers in Longmont, CO · Anesthesiology Physician in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.