OrganizationActive
Anesthesia Care Associates, LLC
NPI 1073899449 · Certified Registered Nurse Anesthetist · South Bend, IN
Provider details
- NPI number
- 1073899449
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeff Perry, Manager(502) 418-4700
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Practice location
53830 Generations Dr
South Bend, IN 46635-1557
Phone: (574) 271-0893
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 739567
Dallas, TX 75373-9567
Registry dates
- Enumerated
- 2011-10-28
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.