Provider Demographics
NPI:1104102268
Name:EMA ANESTHESIA, PSC
Entity type:Organization
Organization Name:EMA ANESTHESIA, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WES
Authorized Official - Last Name:BREEDING
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:502-681-4741
Mailing Address - Street 1:PO BOX 950290
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0290
Mailing Address - Country:US
Mailing Address - Phone:513-861-2490
Mailing Address - Fax:513-861-0148
Practice Address - Street 1:360 MISSOURI AVE
Practice Address - Street 2:BLDG 19A, SUITE 102
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3078
Practice Address - Country:US
Practice Address - Phone:812-722-1480
Practice Address - Fax:502-265-0512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty