NPIMap

Organization Active NPI

Aspen Anesthesia, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Aspen, CO
National Provider Identifier
1811042898
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
29434C Issued in CO
Legal business name
ASPEN ANESTHESIA, INC
Practice address
401 Castle Creek Rd
Aspen, CO 81611-1159
Phone
(844) 246-1591
Fax
(970) 544-1587
NPI assigned
Jan 23, 2007
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Eric Willsky, MDNPI 1679527295
Title
Owner
Phone
(844) 246-1591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 29434C CO Primary

Addresses

Primary practice location

401 Castle Creek Rd
Aspen, CO 81611-1159

Mailing address

PO Box 3930
Salt Lake City, UT 84110-3930
Phone (800) 880-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000271 CO Part B Supplier - Clinic/Group Practice 7113065970 Receives reassigned benefits from 26 practitioners
Practice locations: Basalt, CO; Rifle, CO; Glenwood Springs, CO; Aspen, CO

National Provider Directory

National Provider Directory

Locations

501 Airport Rd
#912
Rifle, CO 81650
Phone (970) 250-4609

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1811042898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3930",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103930",
            "telephone_number": "800-880-3566",
            "fax_number": "800-880-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111159",
            "telephone_number": "844-246-1591",
            "fax_number": "970-544-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ANESTHESIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLSKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-246-1591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "29434C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.