Platinum Anesthesia Llc

LBN: Platinum Anesthesia Llc
Platinum Anesthesia Llc is an health care organization with primary practice located at 4205 Springhurst Blvd Ste 101 , Louisville KY 40241-6159. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Platinum Anesthesia Llc can be contacted via phone (502) 352-2530, or through Beacham, Timothy via phone (601) 918-5567.

Contact Information

Primary practice address
4205 Springhurst Blvd Ste 101 Louisville KY 40241-6159
Phone: (502) 352-2530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beacham, Timothy Doctor of Medicine (MD)
Phone: (601) 918-5567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207LH0002X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1720660095
LBN Legal business name Platinum Anesthesia Llc
DBA Doing business as
Authorized official Beacham, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2021
Last updated Jun 1st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720660095 NPPES
Kentucky MEDICAID 7100756810

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