Healthcare Provider Details

I. General information

NPI: 1336605500
Provider Name (Legal Business Name): SDA CONSULTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2019
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ARCADE AVE STE 100
ELKHART IN
46514-2478
US

IV. Provider business mailing address

PO BOX 440475
NASHVILLE TN
37244-0475
US

V. Phone/Fax

Practice location:
  • Phone: 574-522-9505
  • Fax:
Mailing address:
  • Phone: 615-823-8024
  • Fax: 615-823-8074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: AARON A JONES
Title or Position: CEO
Credential: CRNA
Phone: 615-823-8024