Provider Demographics
NPI:1083850713
Name:ALLIED ANESTHESIA ASSOCIATES, INC
Entity Type:Organization
Organization Name:ALLIED ANESTHESIA ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MURATTA
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF OSTEOPATHY
Authorized Official - Phone:256-492-7246
Mailing Address - Street 1:1026 GOODYEAR AVE
Mailing Address - Street 2:BUILDING 400, SUITE 302
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1102
Mailing Address - Country:US
Mailing Address - Phone:256-492-7246
Mailing Address - Fax:256-492-5746
Practice Address - Street 1:1026 GOODYEAR AVE
Practice Address - Street 2:BUILDING 400, SUITE 302
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1102
Practice Address - Country:US
Practice Address - Phone:256-492-7246
Practice Address - Fax:256-492-5746
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH EASTERN PAIN MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.536207LP2900X
AL1-048920367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty