Gila Anesthesiology Services, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GILA ANESTHESIOLOGY SERVICES, PC

Practice address

1313 E 32ND St
Silver City, NM 88061-7251

Phone

(505) 538-4000

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Jon S Fannin

Title

Director

Phone

(765) 284-0493

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790723377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N WALNUT ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031953",
            "telephone_number": "765-284-0493",
            "fax_number": "765-213-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617251",
            "telephone_number": "505-538-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA ANESTHESIOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-284-0493"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400047",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89080874",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30409861",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Garrett, MD
• Susan Lorraine Garrison, CNP
• Gabriel Gavaldon, BA,AS
• Genoa Healthcare LLC
• Martha Gigger, MA, LBSW
• Gila Eyecare, Inc.
• Gila OB GYN Associates PC
• Gila Optical, Inc.
• Gila Pathology Services PA
• Gila Regional Medical Center

• All providers in Silver City, NM
• Anesthesiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.