Provider Demographics
NPI:1356455257
Name:DUBUQUE ANESTHESIA SERVICES, PC
Entity Type:Organization
Organization Name:DUBUQUE ANESTHESIA SERVICES, PC
Other - Org Name:SAME AS ABOVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-556-8332
Mailing Address - Street 1:3388 KENNEDY CIRCLE STE F
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-3903
Mailing Address - Country:US
Mailing Address - Phone:563-556-8332
Mailing Address - Fax:563-556-8334
Practice Address - Street 1:3388 KENNEDY CIRCLE STE F
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-3903
Practice Address - Country:US
Practice Address - Phone:563-556-8332
Practice Address - Fax:563-556-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0267781Medicaid
IA0267781Medicaid