NPIMap

Organization Active NPI

Anesthesia Associates, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Aurora, IL
National Provider Identifier
1952308223
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
999999999 Issued in IL
Legal business name
ANESTHESIA ASSOCIATES, LTD
Practice address
2540 Hanford LN
Aurora, IL 60502-6969
Phone
(815) 748-8993
NPI assigned
Jul 1, 2005
Last updated
Aug 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Michael Coulson, D.O.NPI 1255338554
Title
Owner
Phone
(815) 748-8993

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 999999999 IL Primary

Addresses

Primary practice location

2540 Hanford LN
Aurora, IL 60502-6969

Mailing address

350 S Northwest Hwy
Park Ridge, IL 60068-4216
Phone (847) 720-7457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000185 IL Part B Supplier - Clinic/Group Practice 2961303425 Receives reassigned benefits from 100 practitioners
Practice locations: Saint Charles, IL; Yorkville, IL; Wauwatosa, WI; Sycamore, IL; Spring Valley, IL; Rockford, IL; Oswego, IL; North Aurora, IL…

National Provider Directory

National Provider Directory
Tax ID family
St James Diabetes10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2631 Williamsburg Ave
Ste 102
Geneva, IL 60134
Phone (630) 232-7860

500 E 22nd St
Lombard, IL 60148
Phone (630) 620-8061

1310 N Main St
Ste 209
Sandwich, IL 60548
Phone (815) 786-1967

3310 W Main St
St Charles, IL 60175
Phone (630) 377-7722

Practitioners & affiliated clinicians

Practitioners 139

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.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1952308223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684216",
            "telephone_number": "847-720-7457",
            "fax_number": "847-720-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HANFORD LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026969",
            "telephone_number": "815-748-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "COULSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-748-8993",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "999999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.