Organization Active NPI

Professional Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Alpine, TX
National Provider Identifier
1821154501
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
553621 Issued in TX
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006864501MedicaidTX
00C10POtherTXGROUP BCBS OF TEXAS ID

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.