Organization Active NPI

Prairie Anesthesia, PLLC

  • Anesthesiology Physician
  • Columbus, MS
National Provider Identifier
1508868514
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRAIRIE ANESTHESIA, PLLC
Practice address
2520 5TH St N
Columbus, MS 39705-2008
Phone
(662) 244-1000
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Beekman Lee Youngblood, MD
Title
Partner
Phone
(334) 878-4560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2520 5TH St N
Columbus, MS 39705-2008

Mailing address

7956 Vaughn Rd # 165
Montgomery, AL 36116-6625
Phone (888) 829-0068

Other practice location 1

443 Wilkins Wise Rd
Columbus, MS 39705-1756
Phone (662) 327-6820

National Provider Directory

National Provider Directory

Locations

443 Wilkins Wise Rd
Columbus, MS 39705
Phone (662) 327-6820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1508868514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD # 165",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166625",
            "telephone_number": "888-829-0068",
            "fax_number": "334-239-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-244-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Wilkins Wise Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397051756",
            "country_code": "US",
            "telephone_number": "662-327-6820",
            "fax_number": "662-327-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAIRIE ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "BEEKMAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "334-878-4560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.