Healthcare Provider Details

I. General information

NPI: 1760563308
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF CENTRAL IOWA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE
AMES IA
50010-5745
US

IV. Provider business mailing address

PO BOX 27015
OMAHA NE
68127-0015
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-2182
  • Fax:
Mailing address:
  • Phone: 402-393-9459
  • Fax: 402-397-9895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD062225
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD045598
License Number StateIA

VIII. Authorized Official

Name: JOSEPH L SABERS
Title or Position: PRESIDENT
Credential: CRNA
Phone: 402-393-9459