Healthcare Provider Details

I. General information

NPI: 1831438092
Provider Name (Legal Business Name): ENVIRON ANESTHESIA, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 11/04/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 N LIMESTONE # 2135
LEXINGTON KY
40505-3247
US

IV. Provider business mailing address

949 NATIONAL AVE # 151
LEXINGTON KY
40502-1435
US

V. Phone/Fax

Practice location:
  • Phone: 859-421-3682
  • Fax: 859-252-9738
Mailing address:
  • Phone: 859-421-3682
  • Fax: 859-252-9738

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: MR. BRYAN SCHNABEL
Title or Position: OWNER
Credential:
Phone: 859-421-3682