Organization Active NPI

Tri-Lakes Anesthesia, LLC

  • Anesthesiology Physician
  • Branson, MO
National Provider Identifier
1891801411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRI-LAKES ANESTHESIA, LLC
Practice address
915 State Highway 248
Suite B
Branson, MO 65616-8003
Phone
(417) 335-8572
Fax
(417) 335-8573
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tom V Morrison, MD
Title
Owner
Phone
(417) 334-0044

Specialties & licenses 1

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

Addresses

Primary practice location

915 State Highway 248
Suite B
Branson, MO 65616-8003

Mailing address

915 State Highway 248
Suite B
Branson, MO 65616-8003
Phone (417) 335-8572

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891801411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 STATE HIGHWAY 248",
            "address_2": "SUITE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168003",
            "telephone_number": "417-335-8572",
            "fax_number": "417-335-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 STATE HIGHWAY 248",
            "address_2": "SUITE B",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656168003",
            "telephone_number": "417-335-8572",
            "fax_number": "417-335-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-334-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.