Provider Demographics
NPI:1326413576
Name:SRMC ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:SRMC ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:W
Authorized Official - Last Name:NOTHNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-776-8311
Mailing Address - Street 1:9048 SUGAR EST
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-3634
Mailing Address - Country:US
Mailing Address - Phone:340-776-8311
Mailing Address - Fax:
Practice Address - Street 1:9048 SUGAR EST
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3634
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VI GOVERNMENT HOSPITAL & HEALTH FACILITIES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-14
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty