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NPI Code Detail

MEDICARE: SURGICAL ANESTHESIA ASSOCIATES, PA

MEDICARE: SURGICAL ANESTHESIA ASSOCIATES, PA
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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346287281
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICAL ANESTHESIA ASSOCIATES, PA
Provider Business Mailing Address
First Line : PO BOX 7539
Second Line :
City : JACKSON
State : MS
Zip : 39284-7539
Country : US
Telephone Number : 601-376-1848
Fax Number : 601-376-1894
Provider Business Practice Location Address
First Line : 1850 CHADWICK DR
Second Line :
City : JACKSON
State : MS
Zip : 39204-3404
Country : US
Telephone Number : 601-376-1848
Fax Number : 601-376-1894
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. TABITHA MAY
Credential :
Telephone Number : 601-376-1848
Provider Enumeration Date : 05/31/2006
Last Update Date : 08/15/2013

Similar Medicare Providers

1518969724 — DR. STEVEN E ZACHOW MD
Practice Location Address:
1850 CHADWICK DR
JACKSON, MS
39204-3404
Practice Phone: 601-376-2074
Practice Fax: 601-376-2875
1730161779 — MR. MARK C. BURRELL CRNA
Practice Location Address:
1850 CHADWICK DR
JACKSON, MS
39204-3404
Practice Phone: 601-376-1848
Practice Fax: 601-376-1894
1932167533 — STERLING EMERGENCY SERVICES OF MISSISSIPPI, INC
Practice Location Address:
1850 CHADWICK DR
JACKSON, MS
39204-3404
Practice Phone: 601-376-1000
Practice Fax: 904-805-1302
1114976677 — DR. DAVID A. DEAN D.O.
Practice Location Address:
1850 CHADWICK DR , CENTRAL MISSISSIPPI MEDICAL CENTER EMERGENCY DEPARTMENT
JACKSON, MS
39204-3404
Practice Phone: 601-376-2943
Practice Fax: 601-376-2947
1033163092 — JACKSON HMA LLC
Practice Location Address:
1850 CHADWICK DR
JACKSON, MS
39204-3404
Practice Phone: 601-376-1000
Practice Fax: 601-376-2821
1407803422 — MR. THOMAS BRADLEY COSGROVE CRNA
Practice Location Address:
1850 CHADWICK DR
JACKSON, MS
39204-3404
Practice Phone: 601-376-1848
Practice Fax: 601-376-1894

Directions to “SURGICAL ANESTHESIA ASSOCIATES, PA ” Practice Location

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