Active NPI
HT Anesthesia
- Certified Registered Nurse Anesthetist
- Paducah, KY
National Provider Identifier
1679752950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- HT ANESTHESIA
- Practice address
- 100 Medical Center Dr
Paducah, KY 42003-7909 - Phone
- (270) 442-1024
- NPI assigned
- Nov 2, 2007
- 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
- Gary A Miller, CRNA
- Title
- Gen PTR
- Phone
- (573) 686-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
100 Medical Center Dr
Paducah, KY 42003-7909
Mailing address
209 S Main St
Poplar Bluff, MO 63901-5831
Phone (573) 686-5550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1679752950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S MAIN ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015831",
"telephone_number": "573-686-5550",
"fax_number": "573-626-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037909",
"telephone_number": "270-442-1024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HT ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "GEN PTR",
"authorized_official_telephone_number": "573-686-5550",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.