Organization Active NPI

Westpacific Westpac Anesthesia-Anesthesia Consultants of Minnesot

  • Certified Registered Nurse Anesthetist
  • Rogers, MN
National Provider Identifier
1699306100
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jun 24, 2024

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.