Provider Demographics
NPI:1083662837
Name:WATCHCARE ANESTHESIA, INC.
Entity Type:Organization
Organization Name:WATCHCARE ANESTHESIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWOGGER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:870-423-4949
Mailing Address - Street 1:PO BOX 557
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-0557
Mailing Address - Country:US
Mailing Address - Phone:870-423-4949
Mailing Address - Fax:870-423-4754
Practice Address - Street 1:207 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-3921
Practice Address - Country:US
Practice Address - Phone:870-423-4949
Practice Address - Fax:870-423-4754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR57559OtherBCBS
CI3014OtherRAILROAD MEDICARE
CI3014OtherRAILROAD MEDICARE