# ANESTHESIA PAIN SPECIALIST, LLC

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

## Provider details

- **NPI number:** 1740456581
- **Authorized official:** LYDIA H FERRELL MD (OWNER)
- **Authorized official phone:** (317) 887-7420

## Contact information

- **Practice address:** 6325 S EAST ST, INDIANAPOLIS, IN 46227-7110
- **Practice address phone:** (317) 781-0067
- **Practice address fax:** (317) 791-1242
- **Mailing address:** PO BOX 3046, INDIANAPOLIS, IN 46206-3046
- **Mailing address phone:** (317) 614-9641
- **Mailing address fax:** (317) 614-9655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | IN | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | IN | Yes |
| 208VP0000X | Pain Medicine Physician | — | IN | — |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 12/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200903580A | — | IN |