# PLATINUM ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1720660095
- **Authorized official:** TIMOTHY BEACHAM MD (OWNER)
- **Authorized official phone:** (601) 918-5567

## Contact information

- **Practice address:** 4205 SPRINGHURST BLVD STE 101, LOUISVILLE, KY 40241-6159
- **Practice address phone:** (502) 352-2530
- **Mailing address:** 7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
- **Mailing address phone:** (812) 962-7894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 06/01/2022