Mana Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MANA ANESTHESIA SERVICES LLC

Practice address

3344 N Futrall Dr Ste 3
Fayetteville, AR 72703-4057

Phone

(479) 521-8200

Fax

(479) 582-7310

NPI assigned

Jul 9, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PAAs reported in NPPES

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

Authorized official

Name

Jason Wilson

Title

Ceo

Phone

(479) 571-6780

Specialties & licenses 1

Addresses

Part of

Medical Assoc of NW Ark PA

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medical Associates of Northwest Arkansas PA

  • Pediatrics Physician
  • Rogers, AR
  • NPI 1497190797

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Cowan Ellison, MD

  • Gastroenterology Physician
  • Fayetteville, AR
  • NPI 1407040488
  NPD (past)
• John D Moore, MD

  • Gastroenterology Physician
  • Springdale, AR
  • NPI 1174707897
  NPD (past)
• Kevin J O'Keefe, MD

  • Gastroenterology Physician
  • Springdale, AR
  • NPI 1053612069
  NPD (past)
• Chad E Paschall, MD

  • Gastroenterology Physician
  • Fayetteville, AR
  • NPI 1780627034
  NPD (past)
• Gary A Thomas, MD

  • Gastroenterology Physician
  • Fayetteville, AR
  • NPI 1831125731
  NPD (past)
• Sidney L Vinson, MD

  • Gastroenterology Physician
  • Springdale, AR
  • NPI 1215970561
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1699327841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292012",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292012",
            "telephone_number": "615-620-2320",
            "fax_number": "615-250-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 N FUTRALL DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-521-8200",
            "fax_number": "479-582-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA ANESTHESIA SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-571-6780"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Malbica
• Alex R Maldonado-Lopez
• Vivek Malhotra, MD
• Alexis Mallard
• Matthew Layne Mallory, M.D.
• Sarah M Mann, NP
• Hannah Mantooth
• Ryan David Mantooth, MD
• Crystal Marie Mapes, LPC
• Ana C Mar Leon

• Certified Registered Nurse Anesthetist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.