Organization Active NPI

Total Anesthesia Group LLC

  • Anesthesiology Physician
  • Broken Arrow, OK
National Provider Identifier
1952918963
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TOTAL ANESTHESIA GROUP LLC
Practice address
1150 E Lansing St
Broken Arrow, OK 74012-2429
Phone
(918) 710-4112
Fax
(918) 710-4118
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Cannen Ferrell
Title
Ceo
Phone
(918) 260-9093

Specialties & licenses 1

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

Addresses

Primary practice location

1150 E Lansing St
Broken Arrow, OK 74012-2429

Mailing address

4716 W Urbana St FL 2
Broken Arrow, OK 74012-5997
Phone (918) 710-4112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1952918963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST FL 2",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-710-4112",
            "fax_number": "918-710-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122429",
            "telephone_number": "918-710-4112",
            "fax_number": "918-710-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "CANNEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-260-9093"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.