Basic Information
| Provider Information | |||||||||
| NPI: | 1154886810 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PIONEER SEDATION PLLC | ||||||||
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| Address1: | 1A BURTON HILLS BLVD | ||||||||
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| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372156187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159226102 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3550 MAIN ST STE 103 | ||||||||
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| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011071077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137889700 | ||||||||
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| ProviderEnumerationDate: | 02/07/2019 | ||||||||
| LastUpdateDate: | 02/07/2019 | ||||||||
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| AuthorizedOfficialLastName: | LOGAN | ||||||||
| AuthorizedOfficialFirstName: | ALINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 6152403740 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.