Performance Anesthesia Services, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PERFORMANCE ANESTHESIA SERVICES, LLC

Practice address

44 N Cummings St
Bellville, TX 77418

Phone

(979) 413-7300

NPI assigned

May 31, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Boytim

Title

Ceo

Phone

(979) 777-8969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1871151233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LAUREL VALLEY CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454480",
            "telephone_number": "979-703-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N CUMMINGS ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "77418",
            "telephone_number": "979-413-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "BOYTIM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-777-8969"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Mai
• Mid-Tex Briarwood, Inc.
• Mid-Tex Geriatric, Inc
• Moving in Excellence Behavioral Health Services
• Caroline Neshyba
• Pine Medical PLLC (Bellville Urgent Care Clinic)
• PJ Associates, Inc. (Pamela H. Jones, LCSW)
• Alma Jean Quintero, R. PH.
• Rita Kay Raesner, PTA
• Maritza Rangel

• Certified Registered Nurse Anesthetist in Bellville, TX
• Providers in Bellville, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.