Physician Anesthesia of Pueblo, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PHYSICIAN ANESTHESIA OF PUEBLO, PC

Practice address

3902 Sandalwood LN Unit 120
Pueblo, CO 81005-7502

Phone

(719) 296-5841

Fax

(719) 542-0746

NPI assigned

Jan 8, 2007

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian W. Bell, M.D.NPI 1467543207

Title

Treasurer

Phone

(719) 296-5840

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.phyanesthesia

Practitioners 4

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.

• Brian W. Bell, M.D.

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1467543207
  Medicare reassignment NPD Authorized official
• Eric A Bernauer, MD

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1053370429
  Medicare reassignment NPD
• Michael W Hanson, MD

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1437166923
  NPD
• C. Glen Ferguson, D.O.

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1245330141
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1770631202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020570",
            "telephone_number": "719-296-5840",
            "fax_number": "719-542-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 SANDALWOOD LN UNIT 120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810057502",
            "telephone_number": "719-296-5841",
            "fax_number": "719-542-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ANESTHESIA OF PUEBLO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "719-296-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015962",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PH18408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH6461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa K Phillips, NP
• Misty Marie Phillips, RN
• Greg Allen Philson, DDS
• Physical Therapy Connections, PC
• Physical, Rehabilitative and Occupational Medicine Center LLC (PRO Medicine LLC)
• Physician's Choice Medical, LLC
• Jo Piano
• Taryn Pickerel, RN
• Lauren Pigott
• Pikes Peak Nephrology Associates PC

• Anesthesiology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.