Healthcare Provider Details

I. General information

NPI: 1285560425
Provider Name (Legal Business Name): NEW ERA ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10502 N 110TH EAST AVE
OWASSO OK
74055-6655
US

IV. Provider business mailing address

4906 AMBASSADOR CAFFERY PKWY BLDG 1
LAFAYETTE LA
70508-6962
US

V. Phone/Fax

Practice location:
  • Phone: 918-376-8000
  • Fax:
Mailing address:
  • Phone: 985-951-2202
  • 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: BRIAN YOUNG
Title or Position: SR VP, ENTERPRISE IDR STRATEGY
Credential:
Phone: 855-300-7525