Southcrest Anesthesia Group Llc
LBN: Southcrest Anesthesia Group Llc
Southcrest Anesthesia Group Llc is an health care organization with primary practice located at 8801 S 101St East Ave , Tulsa OK 74133-5716. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, 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.
Southcrest Anesthesia Group Llc can be contacted via phone (918) 294-4803, or through Brewer, Debbie via phone (615) 465-1626.
Contact Information
Primary practice address
8801 S 101St East Ave
Tulsa OK 74133-5716
Phone: (918) 294-4803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1205880754 |
|---|---|
| LBN Legal business name | Southcrest Anesthesia Group Llc |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Aug 6th, 2009 - about 16 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 | 1205880754 | NPPES |
| Oklahoma | MEDICAID | 200085890A |
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