1942248547 NPI number — AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC

Table of content: (NPI 1942248547)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942248547 NPI number — AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC
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:
CAROLINA PAIN CONSULTANTS
Provider Other Organization Name Type Code:
3
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:
1942248547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1305 WALT WHITMAN RD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MELVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11747-4300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-208-4250
Provider Business Mailing Address Fax Number:
704-248-5537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 CAPCOM AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAKE FOREST
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27587-6531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-215-6931
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ABDOU
Authorized Official First Name:
FRANCES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
754-247-4124

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207LC0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 56152 . This is a "PARTNERS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8000170 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02955 . This is a "BCBS,NC CRITICAL CARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 02522 . This is a "BCBS, NC MD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7902522 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: CB1276 . This is a "RAILROAD-MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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