Small Group Anesthesia Services, LLC

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Legal business name

SMALL GROUP ANESTHESIA SERVICES, LLC

Practice address

4716 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 704-5556

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FREELANCE ANESTHESIA LLCAs reported in NPPES

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

Authorized official

Name

Morgan Lea Morgan

Title

Business Manager

Phone

(918) 770-2900

Specialties & licenses 1

Addresses

Part of

Freelance Anesthesia LLC

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1881159085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 N 195TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558219",
            "telephone_number": "918-704-5556",
            "fax_number": "866-550-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-704-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL GROUP ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREELANCE ANESTHESIA LLC",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "918-770-2900"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiologist Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.