Provider Demographics
NPI:1154349827
Name:SOUTHERN INDIANA ANESTHESIA CONSULTANTS, PLLC
Entity type:Organization
Organization Name:SOUTHERN INDIANA ANESTHESIA CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-690-8782
Mailing Address - Street 1:PO BOX 70101
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40270-0101
Mailing Address - Country:US
Mailing Address - Phone:502-690-8782
Mailing Address - Fax:502-459-0923
Practice Address - Street 1:1850 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4990
Practice Address - Country:US
Practice Address - Phone:502-690-8782
Practice Address - Fax:502-459-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2012-12-13
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000064676OtherANTHEM
IN000000064676OtherANTHEM
IN2441627000OtherPASSPORT ADVANTAGE
IN000000064676OtherHEALTHLINK
IN200230600AOtherMANAGED HEALTH SERVICES
IN200230600AOtherMDWISE HOOSIER ALLIANCE
IN000000064676OtherUNICARE
IN129703800OtherUS DEPT OF LABOR
IN134960OtherUNICARE MEDICARE
IN000000064676OtherINDIANA COMPREHENSIVE
IN000000064676OtherANTHEM MEDICAID
INCI9097OtherRAILROAD MEDICARE
IN000000064676OtherONE NATION BENEFIT
IN129703800OtherBLACK LUNG PROGRAM
IN200230600AMedicaid
IN134960OtherUNICARE MEDICARE