Provider Demographics
NPI:1780131490
Name:HAMMOND ANESTHESIA SERVICES LLC
Entity type:Organization
Organization Name:HAMMOND ANESTHESIA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-569-6500
Mailing Address - Street 1:42131 VETERANS AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1428
Mailing Address - Country:US
Mailing Address - Phone:985-345-7246
Mailing Address - Fax:985-345-7249
Practice Address - Street 1:42131 VETERANS AVE
Practice Address - Street 2:STE 200
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1428
Practice Address - Country:US
Practice Address - Phone:985-345-7246
Practice Address - Fax:985-345-7249
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANESTHESIOLOGY PROFESSIONAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-10
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty