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PERFORMANCE ANESTHESIA INC
NPI 1700135720
Nurse Anesthetist, Certified Registered in Moulton, AL

Active since September 05, 2012
202 HOSPITAL ST, MOULTON, AL 35650(256) 974-2200(256) 216-1982 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Performance Anesthesia Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE ANESTHESIA INC (NPI 1700135720) is a healthcare organization registered as a nurse anesthetist, certified registered in Moulton, Alabama and active in the NPI registry since September 2012. The organization lists Randall J Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1700135720
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePERFORMANCE ANESTHESIA INC
Location Address202 HOSPITAL STMoulton, AL 35650-1218
Mailing AddressPo Box 660257Birmingham, AL 35266-0257 · (205) 979-5882 · Fax (205) 979-1248
Phone(256) 974-2200
Fax(256) 216-1982
Organization SubpartNo
Authorized OfficialRandall J WilsonOwner · (205) 979-5882
Enumeration DateSeptember 5, 2012
✔ NPI 1700135720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
202 HOSPITAL ST, Moulton, AL 35650
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCIA CHARMIN MIEREZ BERNARD D.O.
Family Medicine
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (256) 974-2272
ATTENTUS MOULTON LLC
Medicare Defined Swing Bed Unit
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (256) 974-2206
WARRIOR MOUNTAIN EMERGENCY PHYSICIANS LLC
Emergency Medicine
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (973) 251-1132
TUCKIER SURGICAL CLINIC
Surgery
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (256) 974-2121
ATTENTUS MOULTON, LLC
Nurse Anesthetist, Certified Registered
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (256) 974-2298
DR. LARRY GLEN STEPHENS M.D.
Emergency Medicine
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (205) 974-2200
DR. ADENIYI FARUK KOIKI M.D.
Emergency Medicine
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (205) 974-2200
ATTENTUS MOULTON, LLC
Emergency Medicine
202 HOSPITAL ST
MOULTON, AL 35650
Lawrence County (256) 974-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Anesthesia Inc's NPI number?

The NPI number for Performance Anesthesia Inc is 1700135720. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Performance Anesthesia Inc located?

Performance Anesthesia Inc is located at 202 Hospital St, Moulton, AL 35650. The listed phone number is (256) 974-2200.

What is Performance Anesthesia Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Performance Anesthesia Inc was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.