Provider Demographics
NPI:1831438092
Name:ENVIRON ANESTHESIA, LLC.
Entity type:Organization
Organization Name:ENVIRON ANESTHESIA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-421-3682
Mailing Address - Street 1:949 NATIONAL AVE # 151
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1435
Mailing Address - Country:US
Mailing Address - Phone:859-421-3682
Mailing Address - Fax:859-252-9738
Practice Address - Street 1:1532 N LIMESTONE
Practice Address - Street 2:# 2135
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3247
Practice Address - Country:US
Practice Address - Phone:859-421-3682
Practice Address - Fax:859-252-9738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100336610Medicaid
KY7100360880Medicaid
KYK136340Medicare PIN