Active NPI
City Wide Anesthesia Associates,LLC
- Certified Registered Nurse Anesthetist
- Athens, GA
National Provider Identifier
1891932448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- CITY WIDE ANESTHESIA ASSOCIATES,LLC
- Practice address
- 1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132 - Phone
- (706) 207-5407
- NPI assigned
- Jan 18, 2009
- Last updated
- Jan 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth David Stanley, CRNA
- Title
- Managing Member
- Phone
- (706) 207-5407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | GA | Primary |
Addresses
Primary practice location
1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132
Mailing address
1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132
Phone (706) 207-5407
National Provider Directory
National Provider DirectoryLocations
1720 Epps Bridge Pkwy
Ste 108382
Athens, GA 30606
Phone (706) 207-5407
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1346214376
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232236800000",
"number": "1891932448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 EPPS BRIDGE PKWY",
"address_2": "SUITE 108-382",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066132",
"telephone_number": "706-207-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 EPPS BRIDGE PKWY",
"address_2": "SUITE 108-382",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066132",
"telephone_number": "706-207-5407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY WIDE ANESTHESIA ASSOCIATES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-18",
"last_updated": "2009-01-18",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "706-207-5407",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.