Healthcare Provider Details

I. General information

NPI: 1821038696
Provider Name (Legal Business Name): DANVILLE ANESTHESIA ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W MAIN ST
DANVILLE KY
40422-1871
US

IV. Provider business mailing address

PO BOX 27766
BELFAST ME
04915-2029
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-3726
  • Fax:
Mailing address:
  • Phone: 502-907-0356
  • Fax: 502-919-9780

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: ANJUM BUX
Title or Position: PRESIDENT
Credential: M.D.
Phone: 859-236-3726