Pax Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD154919 Issued in OR

Legal business name

PAX ANESTHESIA, LLC

Practice address

1410 Oak St
Eugene, OR 97401-4604

Phone

(541) 228-3666

Fax

(541) 228-3670

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Pauline Evalyn Cole, MHSA, CASC

Title

Ceo

Phone

(541) 228-3660

Specialties & licenses 1

Addresses

Other names 1

• J BRIAN LIDDY, MD Other name

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1992180137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3666",
            "fax_number": "541-228-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3666",
            "fax_number": "541-228-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "EVALYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-228-3660",
        "authorized_official_credential": "MHSA, CASC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD154919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J BRIAN LIDDY, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacey Lee Paulsen, QMHA, CADC I
• Katrina Paulson, LMT
• Dakota Anthony Paulus, EMT
• Maureen McMahon Paulus, PA
• Meredith Pawlowski, RPH
• Karson Paxton
• Matthew Aaron Payne, PA-C
• Celia Pazos
• Peace Health
• Peace Health Pharmacy

• Anesthesiology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Anesthesiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.