1588608145 NPI number — SUFFOLK ANESTHESIA ASSOCIATES

Table of content: MR. RONALD L. ERNST M.D. (NPI 1992796049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588608145 NPI number — SUFFOLK ANESTHESIA ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUFFOLK ANESTHESIA ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588608145
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 PITCHKETTLE POINT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUFFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23434-7551
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-546-1126
Provider Business Mailing Address Fax Number:
757-953-0871

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SENTARA OBICI HOSPITAL 2800 GODWIN BLVD
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
SUFFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-934-4780
Provider Business Practice Location Address Fax Number:
757-483-7726
Provider Enumeration Date:
06/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SPRUIELL
Authorized Official First Name:
LINWOOD
Authorized Official Middle Name:
RAY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
757-483-7706

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  001866 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)