NPIMap

Organization Active NPI

Anesthesia West, P.C.

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1609928233
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ANESTHESIA WEST, P.C.
Practice address
7822 Davenport St
Omaha, NE 68114-3629
Phone
(402) 391-4855
Fax
(402) 391-4855
NPI assigned
Jan 16, 2007
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Chad C Bauerly, MDNPI 1659354108
Title
President
Phone
(402) 391-4855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

7822 Davenport St
Omaha, NE 68114-3629

Mailing address

7822 Davenport St
Omaha, NE 68114-3629
Phone (402) 391-4855

Other identifiers 1

IdentifierTypeStateIssuer
094951OtherNEMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000662 NE Part B Supplier - Clinic/Group Practice 4789596834 Receives reassigned benefits from 85 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Omaha, MI; Elkhorn, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia West PC2 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.

Locations

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

7813 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

7822 Davenport St
Omaha, NE 68114
Phone (402) 391-4855

8005 Farnam Dr
Ste 203
Omaha, NE 68114
Phone (402) 354-7581

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1609928233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 DAVENPORT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143629",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA WEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "BAUERLY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-4855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "094951",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.