Provider Demographics
NPI:1275643785
Name:JIM NED ANESTHESIA, PLLC
Entity Type:Organization
Organization Name:JIM NED ANESTHESIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHIESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:325-641-2655
Mailing Address - Street 1:PO BOX 1827
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-1827
Mailing Address - Country:US
Mailing Address - Phone:325-641-2655
Mailing Address - Fax:325-641-0992
Practice Address - Street 1:5602 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1227
Practice Address - Country:US
Practice Address - Phone:325-793-3755
Practice Address - Fax:325-793-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX596775367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C86SOtherBCBS GROUP #
TX00891ZMedicare ID - Type UnspecifiedMEDICARE GROUP #