Provider Demographics
NPI:1184663064
Name:ANESTHESIA SERVICES OF BIRMINGHAM, P.C.
Entity Type:Organization
Organization Name:ANESTHESIA SERVICES OF BIRMINGHAM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:B
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-933-7246
Mailing Address - Street 1:2151 OLD ROCKY RIDGE RD, SUITE106
Mailing Address - Street 2:ATTN: LYNN BLASZCZAK
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-7251
Mailing Address - Country:US
Mailing Address - Phone:205-989-1091
Mailing Address - Fax:205-989-1087
Practice Address - Street 1:2720 UNIVERSITY BLVD
Practice Address - Street 2:ATTN: LYNN BLASZCZAK
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3408
Practice Address - Country:US
Practice Address - Phone:205-933-7246
Practice Address - Fax:205-989-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty