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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Chad C Bauerly, MD
Title
President
Phone
(402) 391-4855

Other NPIs on the same Medicare enrollment 1

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 35

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

View all 35

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia West PC (2 organizations share this tax ID)

Locations

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

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
094951OtherNEMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2016.

{
    "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": "193400000X SINGLE SPECIALTY  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.