NPIMap

Organization Active NPI

Advanced Anesthesia LLC

  • Anesthesiology Physician
  • Festus, MO
National Provider Identifier
1902992175
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADVANCED ANESTHESIA LLC
Practice address
1101 West Gannon Road
Festus, MO 63028
Phone
(636) 931-5997
Fax
(636) 937-7968
NPI assigned
Oct 5, 2006
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mr. Vernon Phillip Weygandt, CRNANPI 1578513172
Title
Member
Phone
(636) 326-4716

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)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1101 West Gannon Road
Festus, MO 63028

Mailing address

333 Hays Hill Dr
Fenton, MO 63026-3159
Phone (636) 326-4716

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1902992175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HAYS HILL DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263159",
            "telephone_number": "636-326-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEST GANNON ROAD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-931-5997",
            "fax_number": "636-937-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "WEYGANDT",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "636-326-4716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.