Anesthesia Services of Decatur PC
Organization Active NPI Anesthesiology Physician · Decatur, AL
NPI 1629034624 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1629034624
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIA SERVICES OF DECATUR PC
- Practice address
- 1201 7TH St SE
Decatur, AL 35601-3337 - Phone
- (256) 341-2000
- Fax
- (256) 350-2609
- NPI assigned
- Apr 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennie Delashaw
- Title
- Business Manager
- Phone
- (256) 221-7482
Practitioners 51
-
Johanna Ashley, CRNA
-
Heather Elizabeth Baker, CRNA
-
Brandi Michelle Helms, CRNA
-
Amelia R Jordan, CRNA
-
Sonja G Langham, CRNA
-
Richard Anthony Palmer, M.D.
-
Kurt Alan Van Wagenen, M.D.
-
Julianna Weikert, DNP, CRNA
-
Willis Taylor Williams, M.D.
-
Matthew Gary Witzel, M.D.
-
Jennifer Aliotta, CRNA
-
Christina M Biggs, CRNA
-
Jodi Bloomston, CRNA
-
Doris Jean Castrillo, CRNA
-
Vicki Lynn Cheshire, CRNA
-
Virginia A. Holden, CRNA
-
Whitney Lassiter, CRNA
-
Kristin R Mahaffey, CRNA
-
Treesa Lewis McGuire, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040412001701 | AL | Part B Supplier - Clinic/Group Practice | 4183618226 |
Receives reassigned benefits from 39 practitioners Practice locations: Decatur, AL |
National Provider Directory
Locations
1900 Flint Rd SE
Decatur, AL 35601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1201 7TH St SE
Decatur, AL 35601-3337
Mailing address
PO Box 757
Florence, AL 35631-0757
Phone (256) 764-9697
Other providers in Decatur, AL
- Sergey Ananyev
- Anchor Point Clinical Services LLC
- Anchors of Hope Counseling
- Algeria Anderson
- Amanda Kay Anderson
- Angel Arms Senior Home Care
- Anthony Dental Services P.C.
- Jassen Allen Anthony
- Apothecary Sales Inc
- Applegate Health Services, Inc.
All providers in Decatur, AL · Anesthesiology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.