Moon Bay Anesthesia, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01043831A Issued in IN

Legal business name

MOON BAY ANESTHESIA, PC

Practice address

21 SE 3Rd St
500
Evansville, IN 47708-1412

Phone

(812) 473-0181

Fax

(812) 473-5822

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Philip B Leeds, MD

Title

President

Phone

(812) 473-0181

Specialties & licenses 1

Addresses

Practitioners 1

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

• Phillip B Leeds, MD

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1174511471
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1902093230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SE 3RD ST",
            "address_2": "500",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081412",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON BAY ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-473-0181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01043831A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Chiropractic Wellness Center, LLC
• Ashley Elizabeth Montgomery, PHARMD
• Ashlyn Montgomery
• Keri H Montgomery, NP
• Rick Montgomery, D.C.
• McKenzie Lovise Mooney
• Jennifer Moore-Thomas, RD
• Andrew Charles Moore, O.D.
• Ann Moore, LSW
• Brandon Mark Moore, DC

• Anesthesiology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.