Active NPI
Evansville Anesthesia Associates LLC
- Anesthesiology Physician
- Evansville, IN
National Provider Identifier
1770727893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- EVANSVILLE ANESTHESIA ASSOCIATES LLC
- Practice address
- 520 Mary St
Evansville, IN 47710-1677 - Phone
- (812) 473-0181
- Fax
- (812) 473-5822
- NPI assigned
- Apr 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Bonham, MD
- Title
- President
- Phone
- (847) 691-9080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
520 Mary St
Evansville, IN 47710-1677
Mailing address
520 Mary St
Evansville, IN 47710-1677
Phone (812) 340-4517
National Provider Directory
National Provider DirectoryLocations
4011 Gateway Blvd
Ste 200
Newburgh, IN 47630
Phone (812) 250-0010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1770727893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101677",
"telephone_number": "812-340-4517",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101677",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANSVILLE ANESTHESIA ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-21",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "BONHAM",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-691-9080",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.