Independent Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

INDEPENDENT ANESTHESIA LLC

Practice address

1720 S Beckham Ave
Tyler, TX 75701-4464

Phone

(706) 623-4271

Fax

(706) 225-7217

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Paul Weir

Title

Principal

Phone

(706) 425-2239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1649579749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "SUITE 189",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014464",
            "telephone_number": "706-623-4271",
            "fax_number": "706-225-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "706-425-2239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Idell, MD
• Adebola Temitope Ifafore, M.D
• Cosmas Onyedika Ihezie, MD, CSFA
• Ikids Pediatric Dentistry Tyler, PLLC
• Grace Effiong Imoh, RN
• Infucare, LTD
• Linda Ingham, RN
• Ashley Marie Ingledew
• Erica Suzanne Ingram, LMT
• Katori Ingram

• Certified Registered Nurse Anesthetist in Tyler, TX
• Providers in Tyler, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.