NPIMap

Organization Active NPI

Adirondack Anesthesia Services, PC

  • Anesthesiology Physician
  • Saranac Lake, NY
National Provider Identifier
1013950799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADIRONDACK ANESTHESIA SERVICES, PC
Practice address
253 County Route 47
Suite 890
Saranac Lake, NY 12983-0890
Phone
(518) 891-2660
Fax
(518) 891-2663
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Charles C Gibbs, MDNPI 1316917446
Title
Sec/Treas
Phone
(518) 891-2660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X NY Primary

Addresses

Primary practice location

253 County Route 47
Suite 890
Saranac Lake, NY 12983-0890

Mailing address

PO Box 890
253 County Route 47
Saranac Lake, NY 12983-0890
Phone (518) 891-2660

Other identifiers 1

IdentifierTypeStateIssuer
00903902MedicaidNY

National Provider Directory

National Provider Directory

Locations

253 County Route 47
Ste 890
Saranac Lake, NY 12983
Phone (518) 891-2660

253 County Route 47
Saranac Lake, NY 12983
Phone (518) 891-0563

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013950799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "address_2": "253 COUNTY ROUTE 47",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830890",
            "telephone_number": "518-891-2660",
            "fax_number": "518-891-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 COUNTY ROUTE 47",
            "address_2": "SUITE 890",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129830890",
            "telephone_number": "518-891-2660",
            "fax_number": "518-891-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK ANESTHESIA SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SEC/TREAS",
        "authorized_official_telephone_number": "518-891-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00903902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.