NPIMap

Organization Active NPI

Deercreek Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Crossville, TN
National Provider Identifier
1982658019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DEERCREEK ANESTHESIA CONSULTANTS PLLC
Practice address
1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone
(931) 456-4433
Fax
(931) 456-4405
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Lasalle, DO
Title
DO President
Phone
(931) 456-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1307 West Ave
Suite 102
Crossville, TN 38555-5107

Mailing address

1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone (931) 456-4433

National Provider Directory

National Provider Directory

Locations

1307 West Ave
Ste 102
Crossville, TN 38555
Phone (931) 456-4433

103 Suburban Rd
Ste D104
Knoxville, TN 37923

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982658019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WEST AVE",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555107",
            "telephone_number": "931-456-4433",
            "fax_number": "931-456-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WEST AVE",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555107",
            "telephone_number": "931-456-4433",
            "fax_number": "931-456-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERCREEK ANESTHESIA CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DO PRESIDENT",
        "authorized_official_telephone_number": "931-456-4433",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.