Active NPI
Anesthesia Services Associates
- Pain Medicine (Anesthesiology) Physician
- Winston Salem, NC
National Provider Identifier
1033669114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ANESTHESIA SERVICES ASSOCIATES
- Doing business as
- Comprehensive Pain Specialist
- Practice address
- 160 Kimel Park Dr.
Ste 100
Winston Salem, NC 27103 - Phone
- (336) 714-6400
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Davis
- Title
- Ceo
- Phone
- (336) 842-8339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
160 Kimel Park Dr.
Ste 100
Winston Salem, NC 27103
Mailing address
PO Box 440210
Nashville, TN 37244-0210
Other names 1
- Comprehensive Pain Specialist
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476230400000",
"number": "1033669114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 KIMEL PARK DR.",
"address_2": "STE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-714-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SERVICES ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-842-8339"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Pain Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.