Professional Anesthesia Services PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME81504 Issued in FL

Legal business name

PROFESSIONAL ANESTHESIA SERVICES PA

Practice address

375 S Wickham Rd
Melbourne, FL 32904-1135

Phone

(321) 726-9393

Fax

(321) 726-9395

NPI assigned

Dec 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Thessen

Title

President

Phone

(321) 242-9599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1922377191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 LANSING ISLAND DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375102",
            "telephone_number": "321-242-9599",
            "fax_number": "321-242-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041135",
            "telephone_number": "321-726-9393",
            "fax_number": "321-726-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "THESSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-242-9599",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME81504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.