MEDICARE: ANESTHESIOLOGY CONSULTANTS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	RN64318	NV

General Provider Information

NPI Number	:	1023479755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIOLOGY CONSULTANTS, INC

Provider Business Mailing Address
First Line	:	7220 S CIMARRON RD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2173
Country	:	US
Telephone Number	:	702-878-0070
Fax Number	:	702-209-2064

Provider Business Practice Location Address
First Line	:	7220 S CIMARRON RD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2173
Country	:	US
Telephone Number	:	702-878-0070
Fax Number	:	702-209-2064

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	MS. TRINA R MCDONALD
Credential	:
Telephone Number	:	702-878-0070

Provider Enumeration Date	:	03/08/2016
Last Update Date	:	03/08/2016

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