Sequoia Anesthesiology, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SEQUOIA ANESTHESIOLOGY, PA

Practice address

6701 Oakmont Blvd
Dept of Anesthesiology/Pain Management
Fort Worth, TX 76132-2957

Phone

(817) 370-4721

Fax

(817) 370-4941

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Beard

Title

Administrator

Phone

(817) 334-0530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Craig B. Danshaw, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
  • NPI 1568409944
  Medicare reassignment NPD
• Kristina J. Deason, MD

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1285606699
  NPD (past)
• Abdul-Rahman Youssef Itani, D.O.

  • Anesthesiology Physician
  • Hurst, TX
  • NPI 1588736714

  Pain Medicine

  NPD (past)
• Phillip M. Parkinson, CRNA

  • Certified Registered Nurse Anesthetist
  • Irving, TX
  • NPI 1760454607
  NPD (past)
• Neil Sjulson, MD

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1982655866
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1871530220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99386",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990386",
            "telephone_number": "817-529-1927",
            "fax_number": "817-877-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 OAKMONT BLVD",
            "address_2": "DEPT OF ANESTHESIOLOGY/PAIN MANAGEMENT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322957",
            "telephone_number": "817-370-4721",
            "fax_number": "817-370-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA ANESTHESIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-334-0530"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081397401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Martin David Sentmanat, MD
• Yeong Seo
• Alexus Breanna Sepulveda, LCSW
• Julia Alejandra Sepulveda, MD
• Sarah M Seraphin, AAS
• Slava A Serebro
• Serene Behavioral Integrative Health LLC
• Serenity Community Services
• Serenity Professional Counseling, PLLC

• Pain Medicine (Anesthesiology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.

Verify at the official NPI Registry.