Active NPI
Salisbury Anesthesia and Pain Consultants, PA
- Anesthesiology Physician
- Salisbury, NC
National Provider Identifier
1083698039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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, 2010
- 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
- Mr. Vaughn Nelson III, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011VX | Other | NC | BCBS OF NC |
| 89011VX | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1184609737
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1497739445
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1811972466
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1245268861
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1619951688
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1225012297
-
- Interventional Pain Medicine Physician
- Salisbury, NC
- NPI 1962473496
Anesthesiology
-
- Pain Medicine Physician
- Austin, TX
- NPI 1245214212
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
- Troy Deangelo Russell
- Kathleen F Russo, M.D.
- S&H Youth and Adult Services, Inc.
- Sarah Sainworla
- Meher N Saiyid Noor, PT
- Salisbury Audiology and Hearing Aid Services, P.a.
- Salisbury Center LLC (Salisbury Center)
- Salisbury Center LLC (Salisbury Center)
- Salisbury Chiropractic, PC
- Salisbury Ear,Nose & Throat Clinic, P.a.
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.