Provider Demographics
NPI:1104677566
Name:ANESTHESIA SPECIALISTS LLC
Entity type:Organization
Organization Name:ANESTHESIA SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:913-710-2278
Mailing Address - Street 1:10715 S APPLERIDGE LN
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8905
Mailing Address - Country:US
Mailing Address - Phone:913-710-2278
Mailing Address - Fax:
Practice Address - Street 1:3710 W 135TH ST
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-7611
Practice Address - Country:US
Practice Address - Phone:913-353-9123
Practice Address - Fax:913-283-8883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty