Organization Active NPI

Kja Anesthesia LLC

  • Anesthesiology Physician
  • Baton Rouge, LA
National Provider Identifier
1942543400
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD.025273 Issued in LA
Legal business name
KJA ANESTHESIA LLC
Practice address
6438 Province LN
Baton Rouge, LA 70808-3578
Phone
(225) 241-6430
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Kevin J Anderson, MD
Title
Owner
Phone
(225) 241-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD.025273 LA Primary

Addresses

Primary practice location

6438 Province LN
Baton Rouge, LA 70808-3578

Mailing address

6438 Province LN
Baton Rouge, LA 70808-3578
Phone (225) 241-6430

Other identifiers 3

IdentifierTypeStateIssuer
4F361OtherLAMEDICARE
MD.025273OtherLALA STATE BOARD OF MEDICAL EXAMINERS
1577758MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1942543400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 PROVINCE LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083578",
            "telephone_number": "225-241-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 PROVINCE LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083578",
            "telephone_number": "225-241-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-241-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.025273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4F361",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "MD.025273",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577758",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.