Organization Active NPI

Salisbury Anesthesia and Pain Consultants, PA

  • Anesthesiology Physician
  • Salisbury, NC
National Provider Identifier
1083698039
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SALISBURY ANESTHESIA AND PAIN CONSULTANTS, PA
Practice address
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone
(704) 210-5000
NPI assigned
Dec 2, 2005
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mr. Vaughn Nelson III, MDNPI 1184609737
Title
President
Phone
(704) 210-5000

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 Primary

Addresses

Primary practice location

612 Mocksville Ave
Salisbury, NC 28144-2732

Mailing address

203 S Stratford Rd
Ste B
Winston Salem, NC 27103-1872
Phone (336) 794-9616

Other identifiers 2

IdentifierTypeStateIssuer
011VXOtherNCBCBS OF NC
89011VXMedicaidNC

National Provider Directory

National Provider Directory

Locations

203 S Stratford Rd
Ste B
Winston Salem, NC 27103

Practitioners & affiliated clinicians

Practitioners 9

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1083698039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S STRATFORD RD",
            "address_2": "STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031872",
            "telephone_number": "336-794-9616",
            "fax_number": "336-794-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442732",
            "telephone_number": "704-210-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY ANESTHESIA AND PAIN CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-210-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "011VX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011VX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.