OrganizationActive
Huntsville Plastic Anesthesia LLC
NPI 1558068684 · Certified Registered Nurse Anesthetist · Huntsville, AL
Provider details
- NPI number
- 1558068684
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Patrick Wilson, Owner(256) 551-2002
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2620 Carl T Jones Dr Se
Huntsville, AL 35802-4951
Phone: (256) 551-2002
Fax: (256) 551-2003
Street-level locationGet directions
Mailing address
P O Box 661495
Birmingham, AL 35266-1495
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.