Active NPI
Summit Anesthesiology Consultants, LLC
- Anesthesiology Physician
- Gillette, WY
National Provider Identifier
1730740291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SUMMIT ANESTHESIOLOGY CONSULTANTS, LLC
- Practice address
- 1503 Cressett St
Gillette, WY 82716-3339 - Phone
- (307) 349-1840
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica A Quinlan, MD
- Title
- Owner
- Phone
- (404) 218-5692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1503 Cressett St
Gillette, WY 82716-3339
Mailing address
1601 E 17TH St
Idaho Falls, ID 83404-6313
Phone (208) 525-2090
National Provider Directory
National Provider DirectoryLocations
1601 E 17th St
Idaho Falls, ID 83404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561420800000",
"number": "1730740291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046313",
"telephone_number": "208-525-2090",
"fax_number": "208-523-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 CRESSETT ST",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163339",
"telephone_number": "307-349-1840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT ANESTHESIOLOGY CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A",
"authorized_official_last_name": "QUINLAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-218-5692",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.