NPIMap

Organization Active NPI

Bethlehem Professional Anesthesia Services PC

  • Anesthesiology Physician
  • Bethlehem, PA
National Provider Identifier
1649559089
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BETHLEHEM PROFESSIONAL ANESTHESIA SERVICES PC
Practice address
2851 Baglyos Cir Ste 100
Bethlehem, PA 18020-8038
Phone
(424) 821-0550
Fax
(424) 821-0559
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Jeff D. Parks
Title
Vice President of Operations
Phone
(813) 569-6500

Specialties & licenses 1

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

Addresses

Primary practice location

2851 Baglyos Cir Ste 100
Bethlehem, PA 18020-8038

Mailing address

5501 W Gray St
Tampa, FL 33609-1007
Phone (813) 569-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1649559089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W GRAY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091007",
            "telephone_number": "813-569-6500",
            "fax_number": "813-864-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 BAGLYOS CIR STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208038",
            "telephone_number": "424-821-0550",
            "fax_number": "424-821-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM PROFESSIONAL ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "813-569-6500"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.