Surgical Anesthesia of Gettysburg LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SURGICAL ANESTHESIA OF GETTYSBURG LLC

Practice address

54 The Legends Pkwy
Suite 159
Eureka, MO 63025-3803

Phone

(225) 936-9186

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Barbara Baker, BSN

Title

Exec. Vice President

Phone

(225) 936-9186

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700919305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 THE LEGENDS PKWY",
            "address_2": "SUITE 159",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "225-936-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 THE LEGENDS PKWY",
            "address_2": "SUITE 159",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "225-936-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ANESTHESIA OF GETTYSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT",
        "authorized_official_telephone_number": "225-936-9186",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY NUMBER",
            "identifier": "123456",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Eureka, MO
• Providers in Eureka, MO by specialty
• Specialist in Missouri

• 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.