Australia Anesthesia Management LLC
Organization Active NPI Anesthesiology Physician · Goshen, IN
NPI 1700601903 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1700601903
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- AUSTRALIA ANESTHESIA MANAGEMENT LLC
- Practice address
- 200 High Park Ave
Goshen, IN 46526-4810 - Phone
- (574) 364-1000
- NPI assigned
- Nov 21, 2024
- Organization subpart
- No
Authorized official
- Name
- Margarite Garner
- Title
- Vice President Operations
- Phone
- (904) 298-9590
Practitioners 78
-
Jeremiah L Ashe, M.D.
-
Frances Raquel Baccus, M.D.
-
Jay Biesenthal, CRNA
-
Sean Kevin Bitz, CRNA
-
Warren D Bontrager, M.D.
-
Joseph W Egbert, CRNA
-
Matthew H Franz, MD
-
James M Gephart, M.D.
-
Blake Hawk, CRNA
-
Jon E Horsch, MD
-
Kenneth A. Jongsma, D.O.
-
Sabu Kurian, CRNA
-
Kathryn P Lambourne, M.D.
-
Rebecca Mahlie, CRNA
-
Janice Moore, CRNA
-
Rose M. Mwania, CRNA
-
Katherine Ann Newcomer, CRNA
-
Chidimma Nnedimma Offiah, CRNA
-
Zachary Thomas Renew, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250314002290 | IN | Part B Supplier - Clinic/Group Practice | 9436671864 |
Receives reassigned benefits from 77 practitioners Practice locations: Goshen, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
200 High Park Ave
Goshen, IN 46526-4810
Mailing address
PO Box 830811
Philadelphia, PA 19182-0811
Phone (888) 987-1489
Other providers in Goshen, IN
- Arcadia Healthcare Solutions, Inc.
- Jessenia Arrieta
- Lanae Nicole Asher
- Anastasia Attali
- Stephanie Augustine
- Avad Chiropractic & Wellness LLC
- Melissa L Bach
- Kathryn Bachman
- Brittany Bahr
- Brenda Balcazar Gorostiet
All providers in Goshen, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.