# SYCAMORE ANESTHESIA SERVICES, LLC

> 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:** 1336209303
- **Authorized official:** THOMAS M PENDERGAST M.D. (OWNER)
- **Authorized official phone:** (812) 231-4608

## Contact information

- **Practice address:** 1421 N 7TH ST, TERRE HAUTE, IN 47807-1005
- **Practice address phone:** (812) 231-4608
- **Practice address fax:** (812) 231-4675
- **Mailing address:** PO BOX 3036, INDIANAPOLIS, IN 46206-3036
- **Mailing address phone:** (812) 231-4608
- **Mailing address fax:** (812) 231-4675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 01/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200331190 | — | IN |