Provider Demographics
NPI:1700851516
Name:LITTLE FALLS ANESTHESIA P.A.
Entity Type:Organization
Organization Name:LITTLE FALLS ANESTHESIA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHWENDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:320-632-5743
Mailing Address - Street 1:808 3RD ST SE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3557
Mailing Address - Country:US
Mailing Address - Phone:320-632-5743
Mailing Address - Fax:320-632-9680
Practice Address - Street 1:808 3RD ST SE
Practice Address - Street 2:SUITE 130
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3557
Practice Address - Country:US
Practice Address - Phone:320-632-5743
Practice Address - Fax:320-632-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-08-22
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
MNC08318Medicare ID - Type Unspecified