Organization Active NPI

Mid America Anesthesia LLC

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1679758288
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MID AMERICA ANESTHESIA LLC
Practice address
3101 N Harlem Ave
Chicago, IL 60634-4532
Phone
(773) 889-2000
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Narayanarao Ravishankar, M.D
Title
Member
Phone
(630) 926-3096

Specialties & licenses 1

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

Addresses

Primary practice location

3101 N Harlem Ave
Chicago, IL 60634-4532

Mailing address

912 Saint Stephens GRN
Oak Brook, IL 60523-2568
Phone (630) 926-3096

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1679758288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SAINT STEPHENS GRN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232568",
            "telephone_number": "630-926-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344532",
            "telephone_number": "773-889-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "RAVISHANKAR",
        "authorized_official_first_name": "NARAYANARAO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-926-3096",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.