South Coast Anesthesia Associates LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTH COAST ANESTHESIA ASSOCIATES LLC

Practice address

2699 N 17TH St
Coos Bay, OR 97420

Phone

(541) 269-7358

Fax

(541) 269-0677

NPI assigned

Apr 17, 2006

Last updated

Nov 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard E Beechly, CRNANPI 1386605129

Title

President Owner

Phone

(541) 269-7358

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Richard E Beechly, CRNA

  • Certified Registered Nurse Anesthetist
  • Coos Bay, OR
  • NPI 1386605129
  NPD (past) Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1902860836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR",
            "address_2": "241",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "503-297-7223",
            "fax_number": "503-297-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-269-7358",
            "fax_number": "541-269-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BEECHLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "541-269-7358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029025",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy E Soifer, MD,PHD
• Geraldine Ann Javier Somera, MD
• Gregory Sopka, PA
• Stanford Sorensen, DMD
• John Soukup, PT, MTC
• South Coast Billing Service
• South Coast Business Employment Corporation
• South Coast Dental Group LLC (South Coast Family Dentistry)
• South Coast Dermatology LLC
• South Coast Education Service District

• Anesthesiology Physician in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.