SOUTHLAKE PREMIER ANESTHESIA, PLLC (NPI# 1710524095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710524095 |
| Entity Type | Organization |
| Organization Name | SOUTHLAKE PREMIER ANESTHESIA, PLLC |
| Practice Address |
3200 N Tarrant Pkwy Fort Worth TX 76177-8611 |
| Mailing Address |
2600 E Southlake Blvd Ste 120 Southlake TX 76092-8045 |
| Practice Telephone | 2109966363 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | EVERLY MILLER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2109966363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
3200 N TARRANT PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229529 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2015-11-11 |
| 1427682137 | Decatur Hospital Authority | General Acute Care Hospital | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2020-03-03 |
| 1831736206 | Keller Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440411 | Valor Interventional Pain, LLC | Anesthesiology | 6620 Bryant Irvin Rd Ste 100, Fort Worth, TX 76132-4224 | 2020-06-02 |
| 1588146799 | Vertex Advanced Pain Management and Spine Specialist Pllc | Anesthesiology | 1325 Pennsylvania Ave Ste 300, Fort Worth, TX 76104-2110 | 2018-09-04 |
| 1427555077 | Globus Anesthesia, Pllc | Anesthesiology | 8901 Tehama Ridge Pkwy Ste 127244, Fort Worth, TX 76177-2031 | 2018-04-10 |
| 1932611654 | Trinity Medical Associates, Pllc. | Anesthesiology | 3023 South University Drive, Suite 135, Fort Worth, TX 76109-5608 | 2017-11-03 |
| 1376090688 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 4444 Heritage Trace Pkwy Ste 408, Fort Worth, TX 76244 | 2016-09-02 |
| 1770944076 | Ctpc Fort Worth, Pllc | Anesthesiology | 72356 Boat Club Road, Fort Worth, TX 76179-4555 | 2016-03-14 |
| 1124402680 | Metro Pain Laser | Anesthesiology | 6333 Airport Fwy # 102, Fort Worth, TX 76117-5323 | 2015-07-15 |
| 1588984439 | Bryan Skulpoonkitti | Anesthesiology | 416 S Henderson St, Fort Worth, TX 76104-1017 | 2010-06-02 |
| 1386978203 | Anesthesia By Ac Pa | Anesthesiology | 3701 Encanto Dr, Fort Worth, TX 76109-3547 | 2009-09-24 |
| 1215193990 | Davida Denise Rixter | Anesthesiology | 5407 Basswood Blvd Ste 115, Fort Worth, TX 76137-4499 | 2008-08-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.