Provider Demographics
NPI:1831899095
Name:STRATUS ANESTHESIA SOLUTIONS
Entity type:Organization
Organization Name:STRATUS ANESTHESIA SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FUGATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-588-2802
Mailing Address - Street 1:124 E NORTHFIELD DR STE F320
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2600
Mailing Address - Country:US
Mailing Address - Phone:317-358-9553
Mailing Address - Fax:317-565-4645
Practice Address - Street 1:680 E 56TH ST STE I
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7777
Practice Address - Country:US
Practice Address - Phone:317-588-2802
Practice Address - Fax:317-565-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty