Stat Anesthesia Specialists, LTD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01065648A Issued in IN

Legal business name

STAT ANESTHESIA SPECIALISTS, LTD

Practice address

10220 Wicker Ave
Suite 3
Saint John, IN 46373-9424

Phone

(219) 515-6943

Fax

(708) 895-9455

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Paul C Pollachek, RN

Title

Administrator

Phone

(219) 515-6943

Specialties & licenses 1

Addresses

Tax ID family

Stat Anesthesia Specialists LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stat Anesthesia Specialists LTD

  • Anesthesiology Physician
  • Saint John, IN
  • NPI 1699724781
  NPD tax ID

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1821462243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 TORRENCE AVE",
            "address_2": "SUITE 1C",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382870",
            "telephone_number": "219-515-6943",
            "fax_number": "708-895-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 WICKER AVE",
            "address_2": "SUITE 3",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739424",
            "telephone_number": "219-515-6943",
            "fax_number": "708-895-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT ANESTHESIA SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "POLLACHEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-515-6943",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01065648A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Mena Therapy P.C.
• St. John Premier Dental
• Katherine Stalbaum, MD
• Michelle Sweeney Stan, LCSW
• Stat Anesthesia Specialists LTD
• Taylor Steele
• Corlin Alden Stein, DC
• Kathryn V. Stengel, RN, CS/ANP
• Renee Dawn Swart
• Angela Marie Swelfer, MSW, LCSW

• Interventional Pain Medicine Physician in Saint John, IN
• Providers in Saint John, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.