Provider Demographics
NPI:1194008904
Name:NWMC-WINFIELD PHYSICIAN PRACTICES, LLC
Entity Type:Organization
Organization Name:NWMC-WINFIELD PHYSICIAN PRACTICES, LLC
Other - Org Name:D/B/A NORTHWEST ANESTHESIA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIMPIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-979-8861
Mailing Address - Street 1:1530 US HIGHWAY 43
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-5056
Mailing Address - Country:US
Mailing Address - Phone:205-487-7530
Mailing Address - Fax:205-487-7684
Practice Address - Street 1:1530 US HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5056
Practice Address - Country:US
Practice Address - Phone:205-487-7530
Practice Address - Fax:205-487-7684
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NWMC-WINFIELD PHYSICIAN PRACTICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty