Active NPI
Liberty Anesthesia LLC
- Anesthesiology Physician
- Spokane, WA
National Provider Identifier
1851643571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LIBERTY ANESTHESIA LLC
- Practice address
- 105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2302 - Phone
- (509) 838-5950
- NPI assigned
- Oct 4, 2012
- 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
- Stuart J Fealk, MD
- Title
- Owner/President/Authorized Offical
- Phone
- (509) 953-3287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2302
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349308800000",
"number": "1851643571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 6010",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-838-5950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A",
"authorized_official_last_name": "FEALK",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PRESIDENT/AUTHORIZED OFFICAL",
"authorized_official_telephone_number": "509-953-3287",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.