Organization Active NPI

Outer Banks Anesthesia & Perioperative Care Specialists PLLC

  • Anesthesiology Physician
  • Williamsburg, VA
National Provider Identifier
1093269060
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0595 Issued in NC
Legal business name
OUTER BANKS ANESTHESIA & PERIOPERATIVE CARE SPECIALISTS PLLC
Practice address
324 Monticello Ave
Williamsburg, VA 23185-2834
Phone
(757) 635-8998
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Paul Emil Pellini, CRNA
Title
Owner
Phone
(757) 635-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 0595 NC Primary

Addresses

Primary practice location

324 Monticello Ave
Williamsburg, VA 23185-2834

Mailing address

344 Tulls Creek Rd
Moyock, NC 27958-9368
Phone (757) 635-8998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1093269060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 TULLS CREEK RD",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279589368",
            "telephone_number": "757-635-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852834",
            "telephone_number": "757-635-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER BANKS ANESTHESIA & PERIOPERATIVE CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "PELLINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-635-8998",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "0595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.