NPIMap

Organization Active NPI

Warren Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • McMinnville, TN
National Provider Identifier
1871677146
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WARREN ANESTHESIA ASSOCIATES, P.C.
Practice address
1559 Sparta Rd
River Park Hospital
McMinnville, TN 37110
Phone
(423) 855-0700
NPI assigned
Oct 24, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Michael Cruz, CRNANPI 1740364033
Title
Point of Contact
Phone
(423) 894-5466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1559 Sparta Rd
River Park Hospital
McMinnville, TN 37110

Mailing address

5751 Uptain Rd Ste 100
Chattanooga, TN 37411-5671
Phone (423) 424-3623

Other identifiers 2

IdentifierTypeStateIssuer
3623327MedicaidTN
CN2475OtherRR MEDICARE

National Provider Directory

National Provider Directory

Locations

516 Sunnyside Hts
Ste 3
McMinnville, TN 37110
Phone (423) 894-5466

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1871677146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 UPTAIN RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115671",
            "telephone_number": "423-424-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA RD",
            "address_2": "RIVER PARK HOSPITAL",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "423-855-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN ANESTHESIA ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "POINT OF CONTACT",
        "authorized_official_telephone_number": "423-894-5466",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3623327",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN2475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.