NPI 1124058896 · live from the CMS NPI Registry
Bowling Green Anesthesiology Associates, Psc
Anesthesiology in Bowling Green, KY. National Provider Identifier 1124058896, active.
NPI record
| NPI | 1124058896 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1725 Ashley Cir, Suite 209a, Bowling Green, KY 42104 |
| Practice phone | 270-782-9994 |
| Mailing address | Po Box 2020, Bowling Green, KY 42102 |
| Enumerated | July 5, 2006 |
| Last updated | January 27, 2010 |
| Authorized official | Stacia Decker, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.