NPIMap

Organization Active NPI

Ana Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Aiken, SC
National Provider Identifier
1003273517
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ANA ANESTHESIA, LLC
Practice address
103 Gregg Ave NW
Suite 100
Aiken, SC 29801-3096
Phone
(803) 226-0434
Fax
(336) 553-3994
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Fox
Title
Credentialing Specialist
Phone
(336) 553-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

103 Gregg Ave NW
Suite 100
Aiken, SC 29801-3096

Mailing address

PO Box 18666
Greensboro, NC 27419-8666
Phone (336) 553-1659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160322000328 SC Part B Supplier - Clinic/Group Practice 9739486606 Receives reassigned benefits from 11 practitioners
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1003273517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18666",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274198666",
            "telephone_number": "336-553-1659",
            "fax_number": "336-553-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GREGG AVE NW",
            "address_2": "SUITE 100",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013096",
            "telephone_number": "803-226-0434",
            "fax_number": "336-553-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "336-553-3999"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.