Healthcare Provider Details

I. General information

NPI: 1558208041
Provider Name (Legal Business Name): ONSITE ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5912 S VALE RD
BOULDER CO
80303-9716
US

IV. Provider business mailing address

5912 S VALE RD
BOULDER CO
80303-9716
US

V. Phone/Fax

Practice location:
  • Phone: 720-629-9974
  • Fax: 814-885-4243
Mailing address:
  • Phone: 720-629-9974
  • Fax: 814-885-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER JOSEPH LINSLEY
Title or Position: PRESIDENT
Credential: CRNA
Phone: 720-629-9974