Organization Active NPI

Shamrock Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Dublin, GA
National Provider Identifier
1780944694
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SHAMROCK ANESTHESIA LLC
Practice address
2400 Bellevue Rd Ste 22
Dublin, GA 31021-2889
Phone
(478) 275-4740
Fax
(478) 275-0533
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Mrs. Susan L Young
Title
Practice Manager
Phone
(478) 275-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X GA Primary

Addresses

Primary practice location

2400 Bellevue Rd Ste 22
Dublin, GA 31021-2889

Mailing address

2400 Bellevue Rd Ste 22
P. O. Box 1716
Dublin, GA 31021-2889
Phone (478) 275-4740

National Provider Directory

National Provider Directory

Locations

2400 Bellevue Rd
Ste 22
Dublin, GA 31021
Phone (478) 246-1694

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1780944694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 22",
            "address_2": "P. O. BOX 1716",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212889",
            "telephone_number": "478-275-4740",
            "fax_number": "478-275-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 22",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212889",
            "telephone_number": "478-275-4740",
            "fax_number": "478-275-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "478-275-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.