Organization Active NPI

Mile High Anesthetics, LLC

  • Certified Registered Nurse Anesthetist
  • Canon City, CO
National Provider Identifier
1801557996
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MILE HIGH ANESTHETICS, LLC
Practice address
933 Sell Ave
Canon City, CO 81212-4929
Phone
(888) 690-3611
NPI assigned
Jan 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Brian Richard, MSNA
Title
Crna
Phone
(720) 272-0797

Specialties & licenses 1

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

Addresses

Primary practice location

933 Sell Ave
Canon City, CO 81212-4929

Mailing address

6462 E Cornell Ave
Denver, CO 80222-7416
Phone (720) 272-0797

National Provider Directory

National Provider Directory

Locations

933 Sell Ave
Unit B
Canon City, CO 81212
Phone (719) 275-6433

3800 Buchtel Blvd
#102293
Denver, CO 80210

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1801557996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 E CORNELL AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227416",
            "telephone_number": "720-272-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SELL AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124929",
            "telephone_number": "888-690-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH ANESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "720-272-0797",
        "authorized_official_credential": "MSNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.