Southwest Anesthesiology Group, Inc in Jackson - Anesthesiologist Assistant
Southwest Anesthesiology Group, Inc - NPI 1609817485
Southwest Anesthesiology Group, Inc is a Anesthesiologist Assistant in Jackson, Michigan. Southwest Anesthesiology Group, Inc practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Southwest Anesthesiology Group, Inc is 1609817485. The last update date is 2020-08-22.
Southwest Anesthesiology Group, Inc's current location address is 255 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177876440 and fax number 5177874146. The mailing address for Southwest Anesthesiology Group, Inc is 255 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Anesthesiology Group, Inc |
|---|---|
| Address | 255 W Michigan Ave, Jackson, Michigan |
| Phone Number | 5177876440 |
| Fax Number | 5177874146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bologna F John |
| Credentials | M.D. |
| Telephone Number | 4408168736 |
NPI Number Detail
| NPI Number | 1609817485 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 255 W Michigan Ave |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492012218 |
| Phone Number | 5177876440 |
| Fax Number | 5177874146 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
|
Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 716041 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southwest Anesthesiology Group, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Southwest Anesthesiology Group, Inc has been assigned the NPI (National Provider Identifier) 1609817485. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Southwest Anesthesiology Group, Inc?
The Southwest Anesthesiology Group, Inc is situated at 255 W Michigan Ave, in the city of Jackson, state of MI, with the zip code 492012218.
What is the Southwest Anesthesiology Group, Inc's area of specialization and corresponding taxonomy classification?
The Southwest Anesthesiology Group, Inc's specialty field is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Southwest Anesthesiology Group, Inc receive the assignment of its 1609817485 from the Centers for Medicare & Medicaid Services?
The Southwest Anesthesiology Group, Inc was issued its 1609817485 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details pertaining to Southwest Anesthesiology Group, Inc last refreshed?
The information related to the Southwest Anesthesiology Group, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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