Healthcare Provider Details

I. General information

NPI: 1215904750
Provider Name (Legal Business Name): ASSOCIATED ANESTHESIOLOGISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

4201 WESTOWN PKWY STE 236
WEST DES MOINES IA
50266-6720
US

V. Phone/Fax

Practice location:
  • Phone: 515-401-1950
  • Fax: 515-401-1955
Mailing address:
  • Phone: 515-401-1950
  • Fax: 515-401-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA MARIE CRAIN
Title or Position: OFFICE MANAGER
Credential:
Phone: 515-401-1950