OrganizationActive
Advanced Anesthesia Services, LLC
NPI 1114974235 · Anesthesiology Physician · Gray, LA
Provider details
- NPI number
- 1114974235
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jimmy Ponder, Owner/Ceo(985) 580-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
149 Frontage a Rd
Gray, LA 70359-6301
Phone: (985) 580-1200
Fax: (985) 580-1218
Approximate (ZIP-level) locationGet directions
Mailing address
149 Frontage a Rd
Gray, LA 70359-6301
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.