Provider Demographics
NPI:1760705164
Name:NORTHERN NEVADA ANESTHESIA ASSOCIATES PLLC
Entity Type:Organization
Organization Name:NORTHERN NEVADA ANESTHESIA ASSOCIATES PLLC
Other - Org Name:NORTHERN NEVADA ANESTHESIA ASSOCIATES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANXO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-283-0228
Mailing Address - Street 1:PO BOX 398289
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-8289
Mailing Address - Country:US
Mailing Address - Phone:775-283-0228
Mailing Address - Fax:775-883-3000
Practice Address - Street 1:1600 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4625
Practice Address - Country:US
Practice Address - Phone:775-283-0228
Practice Address - Fax:775-883-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty