Organization Active NPI

Ethos Healthcare, Inc.

Doing business as Ethos Anesthesia

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1518229103
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ETHOS HEALTHCARE, INC.
Doing business as
Ethos Anesthesia
Practice address
4330 Gaines Ranch Loop
220
Austin, TX 78735-6733
Phone
(512) 551-0808
Fax
(512) 782-2215
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Mr. Michael Alexander
Title
VP of Operations
Phone
(512) 551-0810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

4330 Gaines Ranch Loop
220
Austin, TX 78735-6733

Mailing address

4330 Gaines Ranch Loop
220
Austin, TX 78735-6733
Phone (512) 551-0808

Other names 1

  • Ethos Anesthesia Doing business as

National Provider Directory

National Provider Directory

Locations

4330 Gaines Ranch Loop
Ste 220
Austin, TX 78735
Phone (512) 551-0808

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1518229103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GAINES RANCH LOOP",
            "address_2": "220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356733",
            "telephone_number": "512-551-0808",
            "fax_number": "512-782-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GAINES RANCH LOOP",
            "address_2": "220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787356733",
            "telephone_number": "512-551-0808",
            "fax_number": "512-782-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "512-551-0810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ethos Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.