Organization Active NPI

Dba Anesthesia Associates

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1568914281
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
RN90611 Issued in NV
Legal business name
DBA ANESTHESIA ASSOCIATES
Practice address
129 W Lake Mead Pkwy # B18
Henderson, NV 89015-6954
Phone
(702) 564-4440
Fax
(702) 558-1522
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Faatimah Rasheed
Title
Credentialing Coordinator
Phone
(702) 564-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X RN90611 NV Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy # B18
Henderson, NV 89015-6954

Mailing address

129 W Lake Mead Pkwy # B18
Henderson, NV 89015-6954
Phone (702) 564-4440

Other names 1

  • John T. Goodsell, DO, PC, Gregory Linderer, MD Former legal business name

National Provider Directory

National Provider Directory

Locations

129 W Lake Mead Pkwy
#B18
Henderson, NV 89015
Phone (702) 564-4440

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1568914281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY # B18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY # B18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440",
            "fax_number": "702-558-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBA ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "FAATIMAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-564-4440"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "RN90611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John T. Goodsell, DO, PC, Gregory Linderer, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.