Performance Anesthesia Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PERFORMANCE ANESTHESIA INC

Practice address

202 Hospital St
Moulton, AL 35650-1218

Phone

(256) 974-2200

Fax

(256) 216-1982

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall J Wilson

Title

Owner

Phone

(205) 979-5882

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Doyle Wayne Graham, CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, AL
  • NPI 1861400111

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1700135720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HOSPITAL ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501218",
            "telephone_number": "256-974-2200",
            "fax_number": "256-216-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-979-5882"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Oppman, MS
• Agnes Ortega, MD
• Cassie Parker, BA
• Peak Physical Therapy and Wellness II, LLC
• Sue Ellen Penley, LCSW
• Kiley Pickett, OTA
• James H Plaxco Jr., D.C.
• Katie Reist
• Tanecha Rice, MSW
• Mary Rivers, FNP-C

• Certified Registered Nurse Anesthetist in Moulton, AL
• Providers in Moulton, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.