NPIMap

Organization Active NPI

Jackson Anesthesia & Perioperative Consultants P C

  • Anesthesiology Physician
  • Jackson, TN
National Provider Identifier
1669675807
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JACKSON ANESTHESIA & PERIOPERATIVE CONSULTANTS P C
Practice address
367 Hospital Blvd
Jackson, TN 38305-2080
Phone
(731) 661-2227
Fax
(731) 661-2228
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. Eric J Homberg, MDNPI 1548304835
Title
Owner
Phone
(731) 661-2227

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

Addresses

Primary practice location

367 Hospital Blvd
Jackson, TN 38305-2080

Mailing address

367 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 661-2227

National Provider Directory

National Provider Directory

Locations

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1669675807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-661-2227",
            "fax_number": "731-661-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-661-2227",
            "fax_number": "731-661-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ANESTHESIA & PERIOPERATIVE CONSULTANTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "HOMBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-661-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.