Provider Demographics
NPI:1932100344
Name:HASTINGS ANESTHESIOLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:HASTINGS ANESTHESIOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DUNGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-463-9841
Mailing Address - Street 1:420 W 5TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7551
Mailing Address - Country:US
Mailing Address - Phone:402-463-9841
Mailing Address - Fax:402-463-9846
Practice Address - Street 1:715 N SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4451
Practice Address - Country:US
Practice Address - Phone:402-463-9841
Practice Address - Fax:402-463-9846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE7671OtherBCBS GROUP NUMBER
NECC8559OtherRR MEDICARE GROUP NUMBER
NE=========15Medicaid
NE7671OtherBCBS GROUP NUMBER
NE=========15Medicaid