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MDASSISTLLC NPI 1538486246


NPI Information

NPI: 1538486246
Provider Name: MDASSISTLLC
Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Organization
Address:
1626 W HIGHWAY 287 BUSINESS
107
WAXAHACHIE, TX
ZIP 75165
Phone: (972) 937-7240
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MDASSISTLLC is an anesthesiologist assistant in Waxahachie, TX. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. MDASSISTLLC NPI is 1538486246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1626 W HIGHWAY 287 BUSINESS
107
WAXAHACHIE, TX
ZIP 75165-712
Phone: (972) 937-7240
Fax: (972) 937-4255

The provider's authorized official is Tom Ellis .
The authorized official title is President and has the following contact phone number (972) 937-7240.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 4/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNo
2367H00000XAnesthesiologist AssistantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18C8825MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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