Bailey Anesthesia LLC

Key facts

NPI

1982854048

Entity type

Organization (NPI type 2)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

Legal business name

BAILEY ANESTHESIA LLC

Practice address

8200 Mile Tree Dr
Fort Smith, AR 72903-4373

Phone

(479) 926-9089

NPI assigned

Sep 25, 2008

Organization subpart

No

Authorized official

Name

Kristopher A Bailey, CRNA

Title

Owner

Phone

(479) 926-9089

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2017.

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1982854048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10911",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170911",
            "telephone_number": "479-926-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MILE TREE DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034373",
            "telephone_number": "479-926-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-926-9089",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163947001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF AR",
            "identifier": "5A131",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

• Back to Basics Counseling Services
• Back to Health Clinic
• Back to Health Medical Clinic
• Marsha Dianne Baer, MS, LPC
• Rubina Naheed Baig, MD
• Jordan Bailey, RBT
• Karla Bailey, QBHP
• Kelsey Bailey
• Kristopher A Bailey, CRNA
• Madison Bailey, QBHP

All providers in Fort Smith, AR · Certified Registered Nurse Anesthetist in Arkansas