Organization Active NPI

Fazio Anesthesia, LLC

  • Medical Specialty Clinic/Center
  • Louisville, KY
National Provider Identifier
1942961156
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FAZIO ANESTHESIA, LLC
Practice address
9202 Leesgate Rd
Louisville, KY 40222-5001
Phone
(502) 637-4800
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Valerie Fazio, CRNA, APRNNPI 1093709149
Title
Organizer/Registered Agent
Phone
(502) 418-8561

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9202 Leesgate Rd
Louisville, KY 40222-5001

Mailing address

14402 Brook Forest PL
Louisville, KY 40245-5208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1942961156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 BROOK FOREST PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225001",
            "telephone_number": "502-637-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZIO ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ORGANIZER/REGISTERED AGENT",
        "authorized_official_telephone_number": "502-418-8561",
        "authorized_official_credential": "CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.