LEGACY ANESTHESIA
NPI 1710499561
Nurse Anesthetist, Certified Registered in Lenoir City, TN

Q: What is Legacy Anesthesia's NPI number?

The NPI number for Legacy Anesthesia is 1710499561. It was assigned to this organization in the NPPES registry on November 2, 2017.

Q: What is Legacy Anesthesia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Legacy Anesthesia was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 02, 2017

12186 PAW PAW PLAINS RD, LENOIR CITY, TN 37771(423) 639-0941(423) 638-3401 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Legacy Anesthesia NPPES

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

LEGACY ANESTHESIA (NPI 1710499561) is a healthcare organization registered as a nurse anesthetist, certified registered in Lenoir City, Tennessee and active in the NPI registry since November 2017. The organization lists Richard Duane Deindoerfer, Owner, as its authorized official.

NPPES Registry Identity

NPI1710499561

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameLEGACY ANESTHESIA

Location Address12186 PAW PAW PLAINS RDLenoir City, TN 37771-3510

Mailing Address12186 Paw Paw Plains RdLenoir City, TN 37771-3510 · (423) 639-0941 · Fax (423) 638-3401

Phone(423) 639-0941

Fax(423) 638-3401

Organization SubpartNo

Authorized OfficialRichard Duane DeindoerferOwner · (423) 639-0941

Enumeration DateNovember 2, 2017

Last NPPES UpdateJanuary 24, 2018

✔ NPI 1710499561 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.

12186 PAW PAW PLAINS RD, Lenoir City, TN 37771

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 14 clinicians reassign Medicare billing to Legacy Anesthesia, which bills Medicare for the services they deliver. They are listed nearest first.