Healthcare Provider Details

I. General information

NPI: 1265369151
Provider Name (Legal Business Name): AMSURG MERIDIAN ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 E GENTRY WAY STE 100
MERIDIAN ID
83642-3548
US

IV. Provider business mailing address

1A BURTON HILLS BLVD STE 300
NASHVILLE TN
37215-6153
US

V. Phone/Fax

Practice location:
  • Phone: 208-288-1600
  • Fax: 208-288-4299
Mailing address:
  • Phone: 615-263-5264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFF SNODGRASS
Title or Position: PRESIDENT
Credential:
Phone: 800-945-2301