Provider Demographics
NPI:1487957601
Name:WORLD WIDE ANESTHESIA ALLIANCE
Entity type:Organization
Organization Name:WORLD WIDE ANESTHESIA ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GERBERDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-584-2002
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:KS
Mailing Address - Zip Code:67026
Mailing Address - Country:US
Mailing Address - Phone:620-584-2002
Mailing Address - Fax:620-584-2242
Practice Address - Street 1:2340 E MAIN
Practice Address - Street 2:CIMARRON HEALTHCARE CENTER
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023
Practice Address - Country:US
Practice Address - Phone:918-225-6904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK077539367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty