Healthcare Provider Details

I. General information

NPI: 1235554296
Provider Name (Legal Business Name): ASSOCIATED ANESTHESIOLOGISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SMITH AVE N
SAINT PAUL MN
55102-2344
US

IV. Provider business mailing address

7 PARKWAY CTR SUITE 375
PITTSBURGH PA
15220-3704
US

V. Phone/Fax

Practice location:
  • Phone: 651-697-5958
  • Fax:
Mailing address:
  • Phone: 412-937-5700
  • Fax: 412-937-5739

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: DENIZ A. PERESE
Title or Position: PRESIDENT
Credential: MD
Phone: 612-865-2451