M. Beardslee Anesthesia SVC. PSC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28065229A Issued in IN

Legal business name

M. BEARDSLEE ANESTHESIA SVC. PSC

Practice address

2101 Dubois Dr
Marilene Beardslee C/O Kosciusko Community Hospital
Warsaw, IN 46580-3210

Phone

(574) 267-3200

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Marilene O Beardslee, C.R.N.A.NPI 1801902440

Title

Owner/President

Phone

(574) 267-6167

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marilene O Beardslee, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Warsaw, IN
  • NPI 1801902440

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1558536623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465811296",
            "telephone_number": "574-268-9640",
            "fax_number": "574-268-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUBOIS DR",
            "address_2": "MARILENE BEARDSLEE C/O KOSCIUSKO COMMUNITY HOSPITAL",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803210",
            "telephone_number": "574-267-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BEARDSLEE ANESTHESIA SVC. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEE",
        "authorized_official_first_name": "MARILENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-267-6167",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28065229A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braydon Lowe
• Jacqueline Ann Lowe, RPH.
• Muriel Luft, MSW
• Timothy P. Lund, MD
• Mary J Lyga, PT
• Catherine Jane Macdonald, R.PH
• Ann U Madden, OD
• Benjamin Adam Maggard, PHARM.D.
• Santosh Maharjan, M.D
• Tamra Maiden

• All providers in Warsaw, IN
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.