Iu Anesthesiology Associates-ICU, LLC

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

Legal business name

IU ANESTHESIOLOGY ASSOCIATES-ICU, LLC

Practice address

1120 South Dr
Fesler Hall, Room 204
Indianapolis, IN 46202-5135

Phone

(317) 274-0269

Fax

(317) 614-9655

NPI assigned

Aug 21, 2006

Last updated

Oct 16, 2014By 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

Robert G. Presson Jr., MDNPI 1407809833

Title

Managing Director

Phone

(317) 274-0269

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Robert G Presson Jr., MD

  • Pediatric Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1407809833

  Critical Care Medicine

  NPD Authorized official
• David C Adams, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1588608152
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1710092358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "address_2": "DEPT 106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462066069",
            "telephone_number": "317-567-2180",
            "fax_number": "317-567-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SOUTH DR",
            "address_2": "FESLER HALL, ROOM 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025135",
            "telephone_number": "317-274-0269",
            "fax_number": "317-614-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IU ANESTHESIOLOGY ASSOCIATES-ICU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "PRESSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING  DIRECTOR",
        "authorized_official_telephone_number": "317-274-0269",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200849550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Anesthesiology) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Critical Care Medicine (Anesthesiology) Physician in Indiana

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

Verify at the official NPI Registry.