MEDICARE: EXPERT ANESTHESIA SERVICES

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	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134754047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPERT ANESTHESIA SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 1889
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47308-1889
Country	:	US
Telephone Number	:	765-284-0493
Fax Number	:	765-284-2434

Provider Business Practice Location Address
First Line	:	9726 TOUCHTON RD STE 305
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-8307
Country	:	US
Telephone Number	:	904-686-6020
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	NATHAN RACHMAN
Credential	:	MD
Telephone Number	:	386-451-2975

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	03/11/2020

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Directions to “EXPERT ANESTHESIA SERVICES ” Practice Location

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