New Wave Anesthesia Managment LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NEW WAVE ANESTHESIA MANAGMENT LLC

Practice address

16170 Jones Maltsberger Rd Ste 106
San Antonio, TX 78247-3202

Phone

(361) 288-2201

Fax

(210) 210-8183

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Bogdan Fratila, MD

Title

Physician

Phone

(361) 288-2201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1760970016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "361-288-2201",
            "fax_number": "210-399-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "361-288-2201",
            "fax_number": "210-210-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE ANESTHESIA MANAGMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "FRATILA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "BOGDAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "361-288-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR FRATILA",
            "identifier": "1467484691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.