Professional Anesthesia Services of Kentucky PLLC
Organization Active NPI Anesthesiology Physician · Louisville, KY
NPI 1992212807 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1992212807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- PROFESSIONAL ANESTHESIA SERVICES OF KENTUCKY PLLC
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (214) 687-0001
- Fax
- (972) 518-2100
- NPI assigned
- Jan 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Philip W Eichenholz, MD
- Title
- President
- Phone
- (214) 687-0008
Practitioners 525
-
Bianca Chavon Adornato, CRNA
-
Brenn Philip Arbra, CRNA
-
Jessica E Arnold, CRNA
-
Casey Douglas Axman, CRNA
-
Linda Renee Baggett, CRNA
-
Casey Eugene Baldwin, CRNA
-
Debra A Barber, CRNA
-
Stamatis Baronos, MD
-
Elizabeth Barry, CRNA
-
Kayla Berry, CRNA
-
Kevin B Boyd, CRNA
-
Michael David Brown Jr., CRNA
-
Timothy James Bryant, CRNA
-
Jason W Caldwell, CRNA
-
Christina Maria Carrillo, CRNA
-
Desiree L Chappell, CRNA
-
Jim Yun-Fei Chen, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180209000936 | KY | Part B Supplier - Clinic/Group Practice | 0244590305 |
Receives reassigned benefits from 515 practitioners Practice locations: Louisville, KY; Elizabethtown, KY; Bowling Green, KY |
National Provider Directory
Locations
484 Golden Autumn Way
Ste 100
Bowling Green, KY 42103
Phone (270) 793-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
PO Box 610691
Dallas, TX 75261-0691
Phone (239) 610-0775
Other practice location 1
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (214) 687-0001
Other providers in Louisville, KY
- Cylee Eryn Hart Proctor
- Mary L Proctor Jr.
- Raquel Marie Proctor
- Prodigal Son Life Builders
- Professional Advocacy LLC
- Professional Assessment & Therapeutic Services PSC
- Professional Dental Services of Kentucky PSC
- Professional Evaluation and Developmental Services
- Professional Physical Therapy Clinic LLC
- Progressive Medical & Rehabilitation Group
All providers in Louisville, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.