Provider Demographics
NPI:1730969148
Name:JEBS ANESTHESIA CONSULTANTS, LLC
Entity type:Organization
Organization Name:JEBS ANESTHESIA CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHMUTZLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-697-1407
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-0591
Mailing Address - Country:US
Mailing Address - Phone:574-383-2203
Mailing Address - Fax:
Practice Address - Street 1:4004 DUPONT CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4831
Practice Address - Country:US
Practice Address - Phone:502-896-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty