Provider Demographics
NPI:1083204804
Name:ANESTHESIA & PAIN SERVICES LLC
Entity Type:Organization
Organization Name:ANESTHESIA & PAIN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:603-831-1468
Mailing Address - Street 1:8141 S 15TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-7801
Mailing Address - Country:US
Mailing Address - Phone:402-431-3333
Mailing Address - Fax:402-325-1325
Practice Address - Street 1:8141 S 15TH ST STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-7801
Practice Address - Country:US
Practice Address - Phone:402-431-3333
Practice Address - Fax:402-325-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty