Organization
ASSOCIATION OF ANESTHESIA PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA BOGGESS (OWNER)
(304) 346-9400
Entity
Organization
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 346-9400
(304) 345-7320
Mailing address
PO BOX 1009, CHARLESTON, WV 25324-1009
(304) 346-9400
(304) 345-7320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16058
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001907643
BCBS MD 'PAY TO'
WV
01
—
001907661
BCBS CRNA 'PAY TO' NUMBER
WV
01
—
1070905
BRICKSTREET
WV
05
—
3810006746
—
WV
01
—
612330400
FECA
WV
01
—
612330401
FEDERAL BLACK LUNG
WV
01
—
DF0767
RR MEDICARE
WV
Enumeration date
09/16/2006
Last updated
05/08/2008
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