PSA ANESTHESIA PLLC (NPI# 1477828028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477828028 |
| Entity Type | Organization |
| Organization Name | PSA ANESTHESIA PLLC |
| Practice Address |
4100 Duval Rd Bldg 3 Suite 100 Austin TX 78759-3550 |
| Practice Telephone | 5128361200 |
| Practice Fax Number | 5124857220 |
| Mailing Telephone | 5128361200 |
| Mailing Fax Number | 5124857220 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | MS. ELENA FUENTES (ADMINISTRATOR) |
| Authorized Official Telephone | 5124857200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4100 DUVAL RD BLDG 3 SUITE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960693 | Michelle A Berger | Ophthalmology | 4100 Duval Rd, Bldg 4 Ste 205, Austin, TX 78759 | 2006-02-10 |
| 1730730979 | Monarch Medical Management Group, LLC | Contractor | 4100 Duval Rd, Bldg 3, Suite 100, Austin, TX 78759-3550 | 2019-09-27 |
| 1336799667 | Christopher Michael Petiprin | Contractor | 4100 Duval Rd, Building 3, Suite 100, Austin, TX 78759-3550 | 2019-09-18 |
| 1417422676 | Jessica Lynn Laskoskie | Nurse Practitioner | 4100 Duval Rd, Bldg. IIi Suite 200, Austin, TX 78759 | 2018-10-03 |
| 1366959892 | Aabc In Your Home LLC | Midwife | 4100 Duval Rd, Bldg 2 #101, Austin, TX 78759 | 2018-01-05 |
| 1265943765 | Rebekah Lynne Randall | Registered Nurse | 4100 Duval Rd, Austin, TX 78759-3456 | 2017-10-24 |
| 1316478951 | Anne Leclercq | Midwife | 4100 Duval Rd, Austin, TX 78759-3550 | 2017-03-24 |
| 1437696184 | Kimberly Muck | Nurse Practitioner | 4100 Duval Rd, Bldg IIi Ste 200, Austin, TX 78759 | 2017-01-19 |
| 1073985446 | Nicole Antoinette Busch | Clinical Nurse Specialist | 4100 Duval Rd, Bldg IIi Suite 200, Austin, TX 78759 | 2015-10-26 |
| 1942606587 | Pain Specialists of Austin Pharmacy | Pharmacy | 4100 Duval Rd, Building 3 Suite 201, Austin, TX 78759-3550 | 2014-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1013292317 | Geremy L Sanders Md Pa | Anesthesiology | 911 W 38th St Ste 303, Austin, TX 78705-1188 | 2011-10-18 |
| 1811128887 | Sauman Arman Rafii | Anesthesiology | 12176 N Mopac Expy Ste D, Austin, TX 78758-2908 | 2009-08-07 |
| 1215191416 | Veena Sankar | Anesthesiology | 3006 Pearce Rd, Austin, TX 78730-4332 | 2008-07-16 |
| 1770766313 | Paul Hien Le | Anesthesiology | 711 W 38th St Ste D4, Austin, TX 78705-1131 | 2007-12-05 |
| 1225109648 | Sarosh Saleemi | Anesthesiology | 6618 Sitio Del Rio Blvd Ste 101, Austin, TX 78730 | 2006-11-10 |
| 1609873603 | Neal H Blauzvern | Anesthesiology | 8015 Shoal Creek Blvd Ste 103, Austin, TX 78757-8051 | 2005-07-05 |
| 1992708820 | Julian Lowell Haro | Anesthesiology | 101 W Koenig Ln, Ste 100, Austin, TX 78751-1213 | 2005-05-24 |
| 1700419595 | Antipain Lifestyle, LLC | Anesthesiology | 6104 Old Fredericksburg Rd # 92844, Austin, TX 78749-1216 | 2020-02-20 |
| 1114408242 | Excelsior Pain Management Pllc | Anesthesiology | 1600 W 38th St, Austin, TX 78731 | 2018-08-27 |
| 1639655533 | Mark Malone Md Pa | Anesthesiology | 7307 Creekbluff Dr, Austin, TX 78750 | 2018-07-13 |
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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.