Organization
INDEPENDANT ANESTHESIOLOGISTS PSC
Active
Parent organization
INDEPENDANT ANESTHESIOLOGISTS PSC
Other names
CRNA Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDEPENDANT ANESTHESIOLOGISTS PSC
Authorized official
RICHARD ELDON PARK MD (PRESIDENT)
(859) 341-7246
Entity
Organization
Contact information
Practice address
ONE MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DRIVE, 258, EDGEWOOD, KY 41017
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74905910
—
KY
Enumeration date
02/12/2008
Last updated
05/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us