MEDICARE: ANESTHESIA SPECIALISTS OF ACADIANA

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

General Provider Information

NPI Number	:	1649267568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA SPECIALISTS OF ACADIANA

Provider Business Mailing Address
First Line	:	PO BOX 60605
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70596-0605
Country	:	US
Telephone Number	:	337-261-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	4630 AMBASSADOR CAFFERY PKWY
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6949
Country	:	US
Telephone Number	:	337-261-5151
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. DAVID R. BURGIN
Credential	:	MD
Telephone Number	:	337-261-5151

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/12/2007

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