NPIMap

Organization Active NPI

ASC Anesthesia LLC

  • Anesthesiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1740873033
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ASC ANESTHESIA LLC
Practice address
300 S Mount Auburn Rd Ste 200
Cape Girardeau, MO 63703-4902
Phone
(573) 332-7881
Fax
(573) 332-7176
NPI assigned
Feb 17, 2021
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Dr. Gregory A Tobin, MDNPI 1821097239
Title
President
Phone
(573) 332-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

300 S Mount Auburn Rd Ste 200
Cape Girardeau, MO 63703-4902

Mailing address

PO Box 817
Cape Girardeau, MO 63702-0817
Phone (573) 332-7881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224000314 MO Part B Supplier - Clinic/Group Practice 4789099896 Receives reassigned benefits from 11 practitioners
Practice locations: Cape Girardeau, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1740873033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020817",
            "telephone_number": "573-332-7881",
            "fax_number": "573-332-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MOUNT AUBURN RD STE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034902",
            "telephone_number": "573-332-7881",
            "fax_number": "573-332-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-332-7881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.