Provider Demographics
NPI:1376502294
Name:SOUTH CENTRAL ANESTHESIA LLP
Entity Type:Organization
Organization Name:SOUTH CENTRAL ANESTHESIA LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:620-441-3881
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-0015
Mailing Address - Country:US
Mailing Address - Phone:316-281-3700
Mailing Address - Fax:866-835-2232
Practice Address - Street 1:1300 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2407
Practice Address - Country:US
Practice Address - Phone:620-221-2300
Practice Address - Fax:620-221-9560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty