NPIMap

Organization Active NPI

Medical Anesthesia Associates PC

  • Anesthesiology Physician
  • Bellevue, NE
National Provider Identifier
1609155274
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDICAL ANESTHESIA ASSOCIATES PC
Practice address
2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591
Phone
(712) 322-5565
Fax
(712) 322-5566
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Pam Smith
Title
Office Manager
Phone
(712) 322-5565

Specialties & licenses 1

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

Addresses

Primary practice location

2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591

Mailing address

25 Main PL
Suite 425
Council Bluffs, IA 51503-0792
Phone (712) 322-5565

National Provider Directory

National Provider Directory

Locations

500 W Broadway
Ste 310
Council Bluffs, IA 51503
Phone (712) 322-5565

25 Main Pl
Ste 425
Council Bluffs, IA 51503
Phone (712) 322-5565

Practitioners & affiliated clinicians

Practitioners 5

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": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1609155274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN PL",
            "address_2": "SUITE 425",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030792",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLEVUE MEDICAL CENTER DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231591",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-322-5565"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.