Provider Demographics
NPI:1346588001
Name:ADVANCED ANESTHESIA ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ADVANCED ANESTHESIA ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-481-4707
Mailing Address - Street 1:4200 E SKELLY DR
Mailing Address - Street 2:SUITE 252
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3247
Mailing Address - Country:US
Mailing Address - Phone:615-240-3820
Mailing Address - Fax:615-234-1720
Practice Address - Street 1:4200 E SKELLY DR
Practice Address - Street 2:SUITE 252
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3247
Practice Address - Country:US
Practice Address - Phone:615-240-3820
Practice Address - Fax:615-234-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty