Phoenix Anesthesiology Group Pc

LBN: Phoenix Anesthesiology Group Pc
Phoenix Anesthesiology Group Pc is an health care organization with primary practice located at 1900 Columbus Ave , Bay City MI 48708. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Phoenix Anesthesiology Group Pc can be contacted via phone (989) 894-3077, or through Keene, Dennis via phone (989) 893-9885.

Contact Information

Primary practice address
1900 Columbus Ave Bay City MI 48708
Phone: (989) 894-3077
Fax: (989) 894-6138
Website:
Map and Directions
Authorized official contact:
Name: Keene, Dennis Doctor of Medicine (MD)
Phone: (989) 893-9885

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1639102197
LBN Legal business name Phoenix Anesthesiology Group Pc
DBA Doing business as
Authorized official Keene, Dennis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 27th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639102197 NPPES
Michigan MEDICAID 4085310

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