NPIMap

Veronox Anesthesia, LLC

Organization Active NPI Anesthesiology Physician · Enterprise, AL

NPI 1669951604 · NPPES record last updated Aug 10, 2018

Key facts

NPI
1669951604
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
VERONOX ANESTHESIA, LLC
Practice address
201 E Watts St
Enterprise, AL 36330-1812
Phone
(334) 279-1450
Fax
(334) 279-1660
NPI assigned
Aug 10, 2018
Organization subpart
No

Authorized official

Name
Chris Claassen, MD NPI 1346206356
Title
Authorized Representative
Phone
(334) 279-1450

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 24

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20181009000934 AL Part B Supplier - Clinic/Group Practice 0143572891 Receives reassigned benefits from 24 practitioners
Practice locations: Enterprise, AL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207L00000X Yes

Addresses

Primary practice location

201 E Watts St
Enterprise, AL 36330-1812

Mailing address

PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2018.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1669951604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "334-279-1450",
            "fax_number": "334-279-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301812",
            "telephone_number": "334-279-1450",
            "fax_number": "334-279-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONOX ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "CLAASSEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "334-279-1450",
        "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 Enterprise, AL

All providers in Enterprise, AL · Anesthesiology Physician in Alabama

Sources for this page

Verify at the official NPI Registry.