Provider Demographics
NPI:1235455429
Name:ANESTHESIA ASSOCIATES OF LAPORTE PC
Entity type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF LAPORTE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GNAEDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-343-1485
Mailing Address - Street 1:PO BOX 2404
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-2404
Mailing Address - Country:US
Mailing Address - Phone:317-324-1012
Mailing Address - Fax:317-324-1012
Practice Address - Street 1:1331 STATE ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3112
Practice Address - Country:US
Practice Address - Phone:219-326-1234
Practice Address - Fax:317-324-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty