Provider Demographics
NPI:1235324310
Name:PM ANESTHESIA PLLC
Entity Type:Organization
Organization Name:PM ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:PATCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-885-8128
Mailing Address - Street 1:3237 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2414
Mailing Address - Country:US
Mailing Address - Phone:530-885-8128
Mailing Address - Fax:530-885-0239
Practice Address - Street 1:1096 GOETHALS DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3303
Practice Address - Country:US
Practice Address - Phone:509-943-9700
Practice Address - Fax:509-943-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00030765207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7089980Medicaid
WA122367OtherLABOR & INDUSTRY
050058455OtherMEDICARE RAILROAD
F16613Medicare UPIN
WAGAB06582Medicare PIN