NPIMap

Organization Active NPI

Wabash Valley Anesthesia

  • Certified Registered Nurse Anesthetist
  • Noblesville, IN
National Provider Identifier
1720023799
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WABASH VALLEY ANESTHESIA
Practice address
15788 Hazel Dell Rd
Noblesville, IN 46062-6911
Phone
(317) 218-3136
Fax
(317) 669-0439
NPI assigned
Jun 16, 2006
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Elliott E. McGregory, CRNA
Title
President
Phone
(317) 218-3136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

15788 Hazel Dell Rd
Noblesville, IN 46062-6911

Mailing address

PO Box 1701
Noblesville, IN 46061-1701
Phone (317) 218-3136

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1720023799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1701",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460611701",
            "telephone_number": "317-218-3136",
            "fax_number": "317-669-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15788 HAZEL DELL RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626911",
            "telephone_number": "317-218-3136",
            "fax_number": "317-669-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MCGREGORY",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-218-3136",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.