Active NPI
Westpacific Westpac Anesthesia-Anesthesia Consultants of Minnesot
- Certified Registered Nurse Anesthetist
- Rogers, MN
National Provider Identifier
1699306100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- WESTPACIFIC WESTPAC ANESTHESIA-ANESTHESIA CONSULTANTS OF MINNESOT
- Practice address
- 19571 Sunrise CT
Rogers, MN 55374-4841 - Phone
- (602) 790-0617
- NPI assigned
- Feb 3, 2020
- 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
- Paul Colligan, CRNA
- Title
- President
- Phone
- (602) 790-0617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
19571 Sunrise CT
Rogers, MN 55374-4841
Mailing address
400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305
Other names 1
- WestPacific Anesthesia
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1699306100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 10TH ST E",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "888-209-0305",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19571 SUNRISE CT",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744841",
"telephone_number": "602-790-0617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTPACIFIC WESTPAC ANESTHESIA-ANESTHESIA CONSULTANTS OF MINNESOT",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-03",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "COLLIGAN",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-790-0617",
"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": [
{
"organization_name": "WestPacific Anesthesia",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WestPacific Anesthesia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.