# PEDIATRIC ANAESTHESIA ASSOCIATES, PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205939568
- **Authorized official:** DR. WALTER M ROSE D.O. (DIRECTOR)
- **Authorized official phone:** (502) 451-9949

## Contact information

- **Practice address:** 231 E CHESTNUT ST, KOSAIR CHILDRENS HOSPITAL, LOUISVILLE, KY 40202-1821
- **Practice address phone:** (502) 451-9949
- **Practice address fax:** (502) 451-4553
- **Mailing address:** DEPARTMENT 5090, PO BOX 740041, LOUISVILLE, KY 40201-7441
- **Mailing address phone:** (502) 451-9949
- **Mailing address fax:** (502) 451-4553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | — | NULL | — |
| 207LP3000X | Pediatric Anesthesiology Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | KY | — |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 11/24/2015