Active NPI
Professional Anesthesia Associates
- Certified Registered Nurse Anesthetist
- Alpine, TX
National Provider Identifier
1821154501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 553621
- Legal business name
- PROFESSIONAL ANESTHESIA ASSOCIATES
- Practice address
- 2600 N Highway 118
Alpine, TX 79830-2002 - Phone
- (432) 837-7160
- Fax
- (432) 837-5450
- NPI assigned
- Dec 28, 2006
- Last updated
- Sep 28, 2009
- 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
- Bill Friddell
- Title
- General Partner
- Phone
- (432) 837-7160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 553621 | TX | Primary |
Addresses
Primary practice location
2600 N Highway 118
Alpine, TX 79830-2002
Mailing address
PO Box 2052
Alpine, TX 79831-2052
Phone (432) 837-7160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006864501 | Medicaid | TX | |
| 00C10P | Other | TX | GROUP BCBS OF TEXAS ID |
National Provider Directory
National Provider DirectoryLocations
801 E Brown St
Alpine, TX 79830
Phone (915) 834-9015
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1528037629
-
- Certified Registered Nurse Anesthetist
- Alpine, TX
- NPI 1124184866
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254096000000",
"number": "1821154501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2052",
"city": "ALPINE",
"state": "TX",
"postal_code": "798312052",
"telephone_number": "432-837-7160",
"fax_number": "432-837-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N HIGHWAY 118",
"city": "ALPINE",
"state": "TX",
"postal_code": "798302002",
"telephone_number": "432-837-7160",
"fax_number": "432-837-5450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL ANESTHESIA ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2009-09-28",
"status": "A",
"authorized_official_last_name": "FRIDDELL",
"authorized_official_first_name": "BILL",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "432-837-7160"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "553621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006864501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS OF TEXAS ID",
"identifier": "00C10P",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, TX
- Permian Basin Community Centers for Mental Health & Mental Retardation
- Phytex Rehabilitation, LLC (PhyTEx Big Bend)
- Kara Poole, CMHC
- Prescription Shop Inc (Prescription Shop)
- Preventative Care Health Services, Inc (Family Health Services of Alpine)
- Promed Preferred PA Professional Corporation
- Rebecca Lewis
- Reliance Medical, Inc
- Lovette Robinson, NP
- Pamela Ruiz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.