1144235615 NPI number — ALBANY ANESTHESIA ASSOCIATES,PC

Table of content: (NPI 1144235615)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144235615 NPI number — ALBANY ANESTHESIA ASSOCIATES,PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALBANY ANESTHESIA ASSOCIATES,PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144235615
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
406 W 1ST AVE
Provider Second Line Business Mailing Address:
PO BOX 1227
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31701-2202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-439-9400
Provider Business Mailing Address Fax Number:
229-436-3718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 W 1ST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31701-2202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-439-9400
Provider Business Practice Location Address Fax Number:
229-436-3718
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
229-439-9400

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CM8845 . This is a "GROUP MEDICARE RAILROAD #" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 300020528A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com