Active NPI
Nova Anesthesia Providers LLC
- Anesthesiology Physician
- Alexandria, VA
National Provider Identifier
1861874091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NOVA ANESTHESIA PROVIDERS LLC
- Practice address
- 4660 Kenmore Ave
Ste 100
Alexandria, VA 22304-1313 - Phone
- (703) 751-5763
- Fax
- (703) 370-4655
- NPI assigned
- Jun 24, 2015
- 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
- Alan F Ansher
- Title
- Member
- Phone
- (941) 360-1566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Ste 100
Alexandria, VA 22304-1313
Mailing address
6094 14TH St W
Ste 133
Bradenton, FL 34207-4104
Phone (941) 360-1566
National Provider Directory
National Provider DirectoryLocations
6094 14th St W
Ste 133
Bradenton, FL 34207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1861874091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6094 14TH ST W",
"address_2": "STE 133",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342074104",
"telephone_number": "941-360-1566",
"fax_number": "941-358-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "STE 100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-751-5763",
"fax_number": "703-370-4655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA ANESTHESIA PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "ANSHER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "941-360-1566"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.