Active NPI
Southeast Anesthesiologists, Inc.
- Anesthesiology Physician
- Indianapolis, IN
National Provider Identifier
1548210685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SOUTHEAST ANESTHESIOLOGISTS, INC.
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-3447
- Fax
- (317) 870-0499
- NPI assigned
- May 11, 2006
- Last updated
- May 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C. Stump, MD
- Title
- President
- Phone
- (317) 802-3125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IN | Primary |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
PO Box 6069
Dept 107
Indianapolis, IN 46206-6069
Phone (866) 806-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064510A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5255 E Stop 11 Rd
Ste 110
Indianapolis, IN 46237
Phone (317) 884-5200
Practitioners & affiliated clinicians
Practitioners 133
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431993600000",
"number": "1548210685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"address_2": "DEPT 107",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462066069",
"telephone_number": "866-806-1190",
"fax_number": "317-870-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-528-3447",
"fax_number": "317-870-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST ANESTHESIOLOGISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2015-05-19",
"status": "A",
"authorized_official_last_name": "STUMP",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-802-3125",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064510A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- South Emerson Anesthesia Associates
- South Emerson Pain Management Center
- South Emerson Surgery Center, LLC
- South Indy Family Practive
- South Indy MRI and Rehab Services
- Southeast Dental Group
- Southeast Family Physicians, PC
- Southeast Neighborhood School of Excellence, Inc.
- Southeast Surgery Center LLC (Indiana Orthopaedic Surgery Center)
- Brooke S. Southerland, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.