Provider Demographics
NPI:1437112273
Name:ANESTHESIA CONSULTANTS OF WESTERN COLORADO, PLLC
Entity Type:Organization
Organization Name:ANESTHESIA CONSULTANTS OF WESTERN COLORADO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOECKEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:970-243-7245
Mailing Address - Street 1:1120 WELLINGTON AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6129
Mailing Address - Country:US
Mailing Address - Phone:970-243-7245
Mailing Address - Fax:970-241-1308
Practice Address - Street 1:1120 WELLINGTON AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6129
Practice Address - Country:US
Practice Address - Phone:970-243-7245
Practice Address - Fax:970-241-1308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04020368Medicaid
CI2171OtherRAILROAD MEDICARE
UT=========008Medicaid
CI2171OtherRAILROAD MEDICARE