Active NPI
Wind River Anesthesia Consultants Inc
- Anesthesiology Physician
- Klamath Falls, OR
National Provider Identifier
1720169014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD182286
- Legal business name
- WIND RIVER ANESTHESIA CONSULTANTS INC
- Practice address
- 2865 Daggett Ave
Klamath Falls, OR 97601 - Phone
- (541) 882-6311
- Fax
- (530) 243-0445
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Edward J Frink Jr., MD
- Title
- Owner
- Phone
- (307) 349-9570
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Lander, WY
- NPI 1558442855
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Anesthesiology Physician | 207L00000X | MD182286 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2865 Daggett Ave
Klamath Falls, OR 97601
Mailing address
20915 Royal Oak Circle
Bend, OR 97701
Phone (307) 349-9570
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120003800 | Medicaid | WY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2018.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1720169014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20915 ROYAL OAK CIRCLE",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "307-349-9570",
"fax_number": "530-243-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 DAGGETT AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-882-6311",
"fax_number": "530-243-0445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIND RIVER ANESTHESIA CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "FRINK",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-349-9570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD182286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120003800",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.