NPIMap

Organization Active NPI

Kell Anesthesia Billing Company

  • Certified Registered Nurse Anesthetist
  • Wichita Falls, TX
National Provider Identifier
1558710624
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP110509 Issued in TX
Legal business name
KELL ANESTHESIA BILLING COMPANY
Practice address
4210 Kell Blvd
Suite 200
Wichita Falls, TX 76309-4802
Phone
(812) 216-2954
Fax
(940) 766-3659
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Randy Allen Rogers, CRNANPI 1063528743
Title
Manager
Phone
(812) 216-2954

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 Anesthetist 367500000X AP110509 TX Primary

Addresses

Primary practice location

4210 Kell Blvd
Suite 200
Wichita Falls, TX 76309-4802

Mailing address

4210 Kell Blvd
Suite 200
Wichita Falls, TX 76309-4802
Phone (812) 216-2954

National Provider Directory

National Provider Directory

Locations

4210 Kell Blvd
Ste 200
Wichita Falls, TX 76309
Phone (940) 723-1441

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1558710624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 KELL BLVD",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094802",
            "telephone_number": "812-216-2954",
            "fax_number": "940-766-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 KELL BLVD",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094802",
            "telephone_number": "812-216-2954",
            "fax_number": "940-766-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELL ANESTHESIA BILLING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-216-2954",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP110509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.