Active NPI
Siesta Anesthesia Services, LLC
- Specialist
- Atlanta, GA
National Provider Identifier
1700287232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SIESTA ANESTHESIA SERVICES, LLC
- Practice address
- 100 Hartsfield Center Pkwy
Suite 500
Atlanta, GA 30354-1341 - Phone
- (404) 376-3639
- NPI assigned
- Sep 16, 2014
- 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
- Mr. Taj K. Eubanks, M.D.
- Title
- Authorized Official
- Phone
- (404) 376-3639
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
100 Hartsfield Center Pkwy
Suite 500
Atlanta, GA 30354-1341
Mailing address
100 Hartsfield Center Pkwy
Suite 500
Atlanta, GA 30354-1341
Phone (404) 376-3639
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1700287232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HARTSFIELD CENTER PKWY",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303541341",
"telephone_number": "404-376-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HARTSFIELD CENTER PKWY",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303541341",
"telephone_number": "404-376-3639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIESTA ANESTHESIA SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "EUBANKS",
"authorized_official_first_name": "TAJ",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "404-376-3639",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.