<Unavail>
LBN: Associated Anesthesiologists Of Fort Wayne Pc
<Unavail> is an health care organization with primary practice located at 6435 W Jefferson Blvd # 434 , Fort Wayne IN 46804-6203. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Associated Anesthesiologists Of Fort Wayne Pc can be contacted via phone (260) 436-7875, or through Jolley, Tiffany Ann via phone (972) 715-5000.
Contact Information
Primary practice address
6435 W Jefferson Blvd # 434
Fort Wayne IN 46804-6203
Phone: (260) 436-7875
Fax: (260) 432-9812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X |
Profile Details
| NPI number | 1538159140 |
|---|---|
| LBN Legal business name | Associated Anesthesiologists Of Fort Wayne Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Jolley, Tiffany Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Oct 21st, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538159140 | NPPES |
| Indiana | MEDICAID | 300017278 | |
| Indiana | MEDICAID | 0078204 | |
| Indiana | MEDICAID | 7100998850 | |
| Indiana | MEDICAID | 300024710 | |
| Indiana | MEDICAID | 7100998980 |
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