NPIMap

Organization Active NPI

Anesthesia Associates of Great Falls LLC

  • Anesthesiology Physician
  • Great Falls, MT
National Provider Identifier
1922007202
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4764,5327,8985,9832 Issued in MT
Legal business name
ANESTHESIA ASSOCIATES OF GREAT FALLS LLC
Practice address
401 15TH Ave S
Suite 109
Great Falls, MT 59405-4334
Phone
(406) 727-6311
Fax
(406) 727-1070
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Brent S Weber
Title
Administrator
Phone
(406) 727-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 4764,5327,8985,9832 MT Primary

Addresses

Primary practice location

401 15TH Ave S
Suite 109
Great Falls, MT 59405-4334

Mailing address

401 15TH Ave S
Suite 109
Great Falls, MT 59405-4334
Phone (406) 727-6311

Other identifiers 6

IdentifierTypeStateIssuer
68884MedicaidMT
68867MedicaidMT
68901MedicaidMT
68918MedicaidMT
68850MedicaidMT
69003MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1922007202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S",
            "address_2": "SUITE 109",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-727-6311",
            "fax_number": "406-727-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S",
            "address_2": "SUITE 109",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-727-6311",
            "fax_number": "406-727-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF GREAT FALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-727-6311"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "4764,5327,8985,9832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68884",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68867",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68901",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68918",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68850",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69003",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.