Provider Demographics
NPI:1104854124
Name:ANESTHESIA SERVICES ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ANESTHESIA SERVICES ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:REID
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-824-3737
Mailing Address - Street 1:131 SAUNDERSVILLE
Mailing Address - Street 2:STE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8940
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:888-687-6133
Practice Address - Street 1:131 SAUNDERSVILLE ROAD
Practice Address - Street 2:SUITE 160
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-824-3737
Practice Address - Fax:888-295-1610
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANESTHESIA SERVICES ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-29
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207L00000X, 363A00000X, 367500000X
TN207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4024917OtherBLUE CROSS BLUE SHIELD
KY74900192OtherKY MEDICAID
TN3630916Medicaid
TNCH3745OtherRAILROAD MEDICARE
TN100696999OtherAMERIGROUP
TN3721382Medicaid
TN3721382Medicare PIN
TN100696999OtherAMERIGROUP