Brigham Anesthesia South Llc in Carbondale - Anesthesiology
Brigham Anesthesia South Llc - NPI 1699769232
Brigham Anesthesia South Llc is a Anesthesiology in Carbondale, Illinois. Brigham Anesthesia South Llc practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Brigham Anesthesia South Llc is 1699769232. The last update date is 2011-08-04.
Brigham Anesthesia South Llc's current location address is 405 W Jackson St, Carbondale, Illinois. You can contact this provider via phone number 6185490721 and fax number 6183514849. The mailing address for Brigham Anesthesia South Llc is 405 W Jackson St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brigham Anesthesia South Llc |
|---|---|
| Address | 405 W Jackson St, Carbondale, Illinois |
| Phone Number | 6185490721 |
| Fax Number | 6183514849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Kenny Thomas Gardner |
| Credentials | MD |
| Telephone Number | 6184575111 |
NPI Number Detail
| NPI Number | 1699769232 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2011-08-04 |
Provider Mailing Address Detail
| Address | 405 W Jackson St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011462 |
| Phone Number | 6185490721 |
| Fax Number | 6183514849 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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What is the unique provider identifier assigned to Brigham Anesthesia South Llc?
The Brigham Anesthesia South Llc has been issued the NPI (National Provider Identifier) 1699769232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Brigham Anesthesia South Llc?
The Brigham Anesthesia South Llc is situated at 405 W Jackson St, in the city of Carbondale, state of IL, with the zip code 629011462.
What is the Brigham Anesthesia South Llc's specialty and taxonomy code?
The Brigham Anesthesia South Llc's specialty is Anesthesiology, and the corresponding taxonomy code is 207L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699769232 to Brigham Anesthesia South Llc?
The Brigham Anesthesia South Llc received its 1699769232 assignment from the Centers for Medicare & Medicaid Services on 2005-09-09.
When was the information regarding Brigham Anesthesia South Llc most recently updated?
The details pertaining to the Brigham Anesthesia South Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-08-04.