Timbus Anesthesiology, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD14731 Issued in OR

Legal business name

TIMBUS ANESTHESIOLOGY, LLC

Practice address

1700 E 19TH St
The Dalles, OR 97058-3317

Phone

(541) 296-1111

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kent Anderson, MD

Title

Ceo/Anesthesiologist

Phone

(541) 390-7020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1821581430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 LONE PINE LN",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589724",
            "telephone_number": "541-390-7020",
            "fax_number": "541-769-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 19TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583317",
            "telephone_number": "541-296-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBUS ANESTHESIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO/ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "541-390-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD14731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177709",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.