Organization Active NPI

Promd Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1962721415
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROMD ANESTHESIA CONSULTANTS PLLC
Practice address
3209 Oak Arbor Dr
Plano, TX 75093-5979
Phone
(214) 550-5399
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Kimberly Redon Sivaraman
Title
Billing Manager
Phone
(214) 550-5399

Specialties & licenses 1

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

Addresses

Primary practice location

3209 Oak Arbor Dr
Plano, TX 75093-5979

Mailing address

PO Box 8
Little Elm, TX 75068-0008
Phone (214) 550-5399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1962721415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680008",
            "telephone_number": "214-550-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 OAK ARBOR DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935979",
            "telephone_number": "214-550-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMD ANESTHESIA CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "REDON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-550-5399"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.