Organization Active NPI

Ottumwa Anesthesiologists PC

  • Anesthesiology Physician
  • Ottumwa, IA
National Provider Identifier
1700853421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OTTUMWA ANESTHESIOLOGISTS PC
Practice address
312 E Alta Vista Ave
Ottumwa, IA 52501-1413
Phone
(641) 682-4115
Fax
(641) 682-0005
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Shashi C Sanghni, MD
Title
President
Phone
(641) 682-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

312 E Alta Vista Ave
Ottumwa, IA 52501-1413

Mailing address

312 E Alta Vista Ave
Ottumwa, IA 52501-1413
Phone (641) 682-4115

Other identifiers 1

IdentifierTypeStateIssuer
0072371MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700853421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-682-4115",
            "fax_number": "641-682-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E ALTA VISTA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011413",
            "telephone_number": "641-682-4115",
            "fax_number": "641-682-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA ANESTHESIOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGHNI",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-682-4115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072371",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.