Active NPI
San Juan Anesthesia LLC
- Anesthesiology Physician
- Montrose, CO
National Provider Identifier
1902330764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0042352
- Legal business name
- SAN JUAN ANESTHESIA LLC
- Practice address
- 816 N 2ND St
Montrose, CO 81401-3738 - Phone
- (307) 630-3056
- NPI assigned
- Apr 18, 2017
- Last updated
- Apr 18, 2017
- 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
- Dr. Paul Walter Rinne, M.D.
- Title
- Manager
- Phone
- (307) 630-3056
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0042352 | CO | Primary |
Addresses
Primary practice location
816 N 2ND St
Montrose, CO 81401-3738
Mailing address
PO Box 62
Montrose, CO 81401
Phone (307) 630-3056
National Provider Directory
National Provider Directory- Tax ID family
- San Juan Anesthesia LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Montrose, CO
- NPI 1255380069
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.
-
- Anesthesiology Physician
- Montrose, CO
- NPI 1417906785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1902330764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81401",
"telephone_number": "307-630-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 N 2ND ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013738",
"telephone_number": "307-630-3056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JUAN ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "RINNE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "307-630-3056",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CO",
"license": "0042352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.