NPIMap

Organization Active NPI

Redmond Anesthesiology Associates, LLC

  • Anesthesiology Physician
  • Rome, GA
National Provider Identifier
1003838673
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
REDMOND ANESTHESIOLOGY ASSOCIATES, LLC
Practice address
501 Redmond Road
Rome, GA 30165
Phone
(706) 291-0291
Fax
(706) 802-3063
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Jonathan Wurl, MDNPI 1831136910
Title
MD President
Phone
(828) 254-1969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

501 Redmond Road
Rome, GA 30165

Mailing address

501 Redmond Road
Rome, GA 30165
Phone (706) 291-0291

Other identifiers 3

IdentifierTypeStateIssuer
20-23868809MedicaidGA
GRP7107OtherGAMEDICARE GROUP #
20-23868809OtherGABCBS GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003838673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 REDMOND ROAD",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-291-0291",
            "fax_number": "706-802-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REDMOND ROAD",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-291-0291",
            "fax_number": "706-802-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND ANESTHESIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WURL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "828-254-1969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-23868809",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP7107",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "20-23868809",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.