Active NPI
Physician Anesthesia Associates SC
- Interventional Pain Medicine Physician
- Carol Stream, IL
National Provider Identifier
1780925446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PHYSICIAN ANESTHESIA ASSOCIATES SC
- Practice address
- 4330 Dept
Carol Stream, IL 60122-4330 - Phone
- (847) 457-3800
- Fax
- (847) 615-2858
- NPI assigned
- Mar 6, 2013
- 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. Paul Terna, MD
- Title
- President
- Phone
- (847) 615-2200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
4330 Dept
Carol Stream, IL 60122-4330
Mailing address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 615-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131983700 | Other | IL | DEPT OF LABOR |
National Provider Directory
National Provider Directory- Tax ID family
- Physician Anesthesia Associates SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Elk Grove Village, IL
- NPI 1629126693
Locations
Carol Stream, IL 60122
Phone (847) 457-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1780925446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-615-2200",
"fax_number": "847-615-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 DEPT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601224330",
"telephone_number": "847-457-3800",
"fax_number": "847-615-2858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ANESTHESIA ASSOCIATES SC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "TERNA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-615-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "131983700",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.