Active NPI
Excellent Professional Anes., PLLC
- Certified Registered Nurse Anesthetist
- Murray, KY
National Provider Identifier
1649568312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- EXCELLENT PROFESSIONAL ANES., PLLC
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1104
- NPI assigned
- Jul 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest P Ayo, CRNA
- Title
- Owner
- Phone
- (270) 362-9480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
659 Sherwood Dr
Gilbertsville, KY 42044-8666
Phone (270) 362-9480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74008046 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Gilbertsville, KY
- NPI 1487650115
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1649568312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 SHERWOOD DR",
"city": "GILBERTSVILLE",
"state": "KY",
"postal_code": "420448666",
"telephone_number": "270-362-9480",
"fax_number": "574-268-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENT PROFESSIONAL ANES., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-15",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "AYO",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-362-9480",
"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": "74008046",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
- Emeritus Corporation (Brookdale Murray)
- Jeremy Brent Erdmann, ATC
- Autumn Nicole Estes
- Etherton Chiropractic of Murray, PSC
- Virgil Wade Etherton, DC
- Family Chiropractic Center of Murray,PLLC
- Family Life Medical and Prosthetics LLC
- Steven Edward Farmer, D.M.D
- Daniel Richard Farr, DC
- Angela Farrell, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.