Healthcare Provider Details

I. General information

NPI: 1811071376
Provider Name (Legal Business Name): APEX ANESTHESIA GROUP, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 OAK ST
LIVINGSTON TN
38570-1728
US

IV. Provider business mailing address

PO BOX 440246
NASHVILLE TN
37244-0246
US

V. Phone/Fax

Practice location:
  • Phone: 931-823-5611
  • Fax:
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON LEVOY
Title or Position: OWNER
Credential: CRNA
Phone: 931-823-5611