Active NPI
North Central Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Sioux City, IA
National Provider Identifier
1851802763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- NORTH CENTRAL ANESTHESIA LLC
- Practice address
- 4405 Hamilton Blvd
Sioux City, IA 51104-1140 - Phone
- (712) 239-3937
- Fax
- (952) 442-3620
- NPI assigned
- Oct 18, 2017
- Last updated
- Oct 18, 2017
- 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
- Angala R Swanson, CRNA
- Title
- President/Owner
- Phone
- (712) 490-9704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
4405 Hamilton Blvd
Sioux City, IA 51104-1140
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Certified Registered Nurse Anesthetist
- Sioux City, IA
- NPI 1033596861
-
- Certified Registered Nurse Anesthetist
- Sioux City, IA
- NPI 1689864928
-
- Certified Registered Nurse Anesthetist
- Sioux City, IA
- NPI 1871883330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508284800000",
"number": "1851802763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 HAMILTON BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511041140",
"telephone_number": "712-239-3937",
"fax_number": "952-442-3620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "ANGALA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "712-490-9704",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.