1851343487 NPI number — ANESTHESIA PHYSICIANS LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851343487 NPI number — ANESTHESIA PHYSICIANS LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIA PHYSICIANS LTD
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:
1851343487
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14700 28TH AVE N STE 20
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55447-4876
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
763-559-3779
Provider Business Mailing Address Fax Number:
763-450-3986

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1305 W 18TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57105-0401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-940-7583
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KNIGHT
Authorized Official First Name:
STEPHANIA
Authorized Official Middle Name:
Authorized Official Title or Position:
HEAD OF GROUP
Authorized Official Telephone Number:
507-250-6502

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  0140 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0570903 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1632804-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 980812400 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 91164AN . This is a "BCBS - GROUP" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 000544 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 150722002 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0002404 . This is a "BCBS - GROUP" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 18912 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".




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