Organization Active NPI

Empire of Daft Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Maple Valley, WA
National Provider Identifier
1548758733
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
EMPIRE OF DAFT ANESTHESIA, LLC
Practice address
24622 214TH Ave SE
Maple Valley, WA 98038-8507
Phone
(206) 245-7552
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mr. Mitchell Edward Keszler, CRNANPI 1578878153
Title
Crna
Phone
(206) 245-7552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

24622 214TH Ave SE
Maple Valley, WA 98038-8507

Mailing address

24622 214TH Ave SE
Maple Valley, WA 98038-8507
Phone (206) 245-7552

National Provider Directory

National Provider Directory
Tax ID family
Empire of Daft Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1548758733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24622 214TH AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388507",
            "telephone_number": "206-245-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24622 214TH AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388507",
            "telephone_number": "206-245-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE OF DAFT ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "KESZLER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "206-245-7552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.