Organization Active NPI

Jackson Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Jackson, TN
National Provider Identifier
1770187734
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JACKSON ANESTHESIOLOGY GROUP, PLLC
Practice address
131 Tucker St Ste 2
Jackson, TN 38301-4055
Phone
(731) 668-1853
Fax
(731) 664-7731
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Daniel Ryan Thrower, MD
Title
Partner
Phone
(731) 668-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

131 Tucker St Ste 2
Jackson, TN 38301-4055

Mailing address

PO Box 3572
Jackson, TN 38303-3572
Phone (731) 668-1853

National Provider Directory

National Provider Directory

Locations

131 Tucker St
Ste 2
Jackson, TN 38301
Phone (731) 668-1853

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1770187734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3572",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383033572",
            "telephone_number": "731-668-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TUCKER ST STE 2",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "731-668-1853",
            "fax_number": "731-664-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ANESTHESIOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "THROWER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "731-668-1853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.