Provider Demographics
NPI:1992017883
Name:ANESTHESIA SERVICES ASSOCIATES PLLC
Entity Type:Organization
Organization Name:ANESTHESIA SERVICES ASSOCIATES PLLC
Other - Org Name:COMPREHENSIVE PAIN SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-843-7711
Mailing Address - Street 1:PO BOX 440210
Mailing Address - Street 2:SUITE 160
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:353 NEW SHACKLE ISLAND RD
Practice Address - Street 2:SUITE 122B
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2379
Practice Address - Country:US
Practice Address - Phone:615-824-2014
Practice Address - Fax:615-824-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74900192OtherKY MEDICAID
TN3721382Medicaid
TN6318400003Medicare NSC
TN3721382Medicare PIN
TN4024917OtherBLUE CROSS BLUE SHIELD
TN100696999OtherAMERIGROUP