Beach Anesthesia, SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BEACH ANESTHESIA, SC

Practice address

3725 W Touhy Ave
Lincolnwood, IL 60712-2603

Phone

(847) 324-7770

NPI assigned

Jun 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Doug Howard Holmes, MD

Title

President

Phone

(312) 451-6465

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kurt F. Olsen, M.D.

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1356373187
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1760610893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N LINCOLN PARK W",
            "address_2": "#16M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144780",
            "telephone_number": "312-451-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122603",
            "telephone_number": "847-324-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH ANESTHESIA, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-451-6465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Theodore Balbarin, CRNA
• Emily Banks
• Elaine Barnes
• Jenna Marie Barnett, LCPC
• Maryam Batta
• Chana D Begoun
• Malka Bender, LCSW
• Elizabeth Berg
• Kristin Bertsatos
• Bespoke Care PLLC

• Anesthesiology Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.