PHYSICIAN ANESTHESIA OF PUEBLO, PC (NPI# 1770631202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770631202 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ANESTHESIA OF PUEBLO, PC |
| Practice Address |
916 Indiana Ave Ste 120 Pueblo CO 81004-3572 |
| Mailing Address |
Po Box 570 Pueblo CO 81002-0570 |
| Practice Telephone | 7192965840 |
| Practice Fax Number | 7195420746 |
| Mailing Telephone | 7192965840 |
| Mailing Fax Number | 7195420746 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | DR. BRIAN W. BELL (TREASURER) |
| Authorized Official Telephone | 7192965840 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | CH6461 | 01 | |
| BCBS | PH18408 | 01 | |
| CO | 04015962 | 05 |
| Street Address |
916 INDIANA AVE STE 120 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053370429 | Eric A Bernauer | Anesthesiology | 916 Indiana Ave Ste 120, Pueblo, CO 81004-3572 | 2006-03-22 |
| 1437166923 | Michael W Hanson | Anesthesiology | 916 Indiana Ave Ste 120, Pueblo, CO 81004-3572 | 2006-08-01 |
| 1558378042 | Samuel C Duhon | Anesthesiology | 916 Indiana Ave Ste 120, Pueblo, CO 81004-3572 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1588856116 | Lars Vanetten | Anesthesiology | 334 Grace Ave, Pueblo, CO 81004-1032 | 2007-08-17 |
| 1023221041 | Christopher W. Harper | Anesthesiology | 400 W. 16th St., Pueblo, CO 81003-2745 | 2007-05-07 |
| 1245330141 | C. Glen Ferguson | Anesthesiology | 1615 Bonforte Blvd, Pueblo, CO 81001-1602 | 2006-09-22 |
| 1245290790 | David Potter | Anesthesiology | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | 2006-03-27 |
| 1053370429 | Eric A Bernauer | Anesthesiology | 916 Indiana Ave Ste 120, Pueblo, CO 81004-3572 | 2006-03-22 |
| 1528063187 | James W Mccanless | Anesthesiology | 650 Dittmer Ave, Pueblo, CO 81005 | 2005-06-20 |
| 1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
| 1992700694 | James E Caldwell | Anesthesiology | 400 W 16th St, Pueblo, CO 81003-2745 | 2005-06-17 |
| 1114560760 | Parkview Ancillary Services | Anesthesiology | 408 North Main Street, Floor 2, Pueblo, CO 81003-3124 | 2019-10-25 |
| 1457863235 | James W. Garland D.o. LLC | Anesthesiology | 650 Dittmer Ave, Pueblo, CO 81005-1212 | 2017-11-01 |
| Find all providers in PUEBLO | ||||
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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.