NPIMap

Organization Active NPI

Southeast Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1619087319
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SOUTHEAST ANESTHESIA ASSOCIATES, LLC
Practice address
7191 Cahaba Valley Rd
Suite 200
Birmingham, AL 35242-6402
Phone
(205) 408-9787
Fax
(205) 408-3993
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Jason William Combs, CRNA
Title
Co-Owner
Phone
(205) 213-8420

Specialties & licenses 1

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

Addresses

Primary practice location

7191 Cahaba Valley Rd
Suite 200
Birmingham, AL 35242-6402

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

Other identifiers 2

IdentifierTypeStateIssuer
529921400MedicaidAL
DB7661OtherALRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

7191 Cahaba Valley Rd
Ste 200
Hoover, AL 35242
Phone (204) 408-9787

1419 Hamric Dr E
Oxford, AL 36203
Phone (256) 241-3242

Practitioners & affiliated clinicians

Practitioners 7

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1619087319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-408-9787",
            "fax_number": "205-408-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "205-213-8420",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529921400",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB7661",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

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