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Contact Information

PLATINUM ANESTHESIA LLC
4205 SPRINGHURST BLVD STE 101
LOUISVILLE, KY40241-6159
 Phone: 502-352-2530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PLATINUM ANESTHESIA LLC

NPI # 1720660095
LBN Legal business name PLATINUM ANESTHESIA LLC
Authorized official TIMOTHY BEACHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2021
Last updated 06/01/2022 - About 4 years ago
Identifiers
KY Medicaid 7100756810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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