Organization Active NPI

Tennessee Valley Pediatric Sedation Services

  • Anesthesiology Physician
  • Huntsville, AL
National Provider Identifier
1831158708
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20602 Issued in AL
Legal business name
TENNESSEE VALLEY PEDIATRIC SEDATION SERVICES
Practice address
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone
(256) 265-7671
Fax
(256) 265-7670
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Elis Yngve Olson, MDNPI 1285629923
Title
President
Phone
(256) 652-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20602 AL Primary

Addresses

Primary practice location

101 Sivley Rd SW
Huntsville, AL 35801-4421

Mailing address

6585 Highway 431 S
Hampton Cove, AL 35763-9230
Phone (256) 652-7852

National Provider Directory

National Provider Directory

Locations

6585 Highway 431 S
Hampton Cove, AL 35763

6585 Highway 431 S
Ste E
Owens Cross Roads, AL 35763

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1831158708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 HIGHWAY 431 S",
            "city": "HAMPTON COVE",
            "state": "AL",
            "postal_code": "357639230",
            "telephone_number": "256-652-7852",
            "fax_number": "256-265-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-7671",
            "fax_number": "256-265-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY PEDIATRIC SEDATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ELIS",
        "authorized_official_middle_name": "YNGVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-652-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "20602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.