Anesthesia Group of Microspine LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ANESTHESIA GROUP OF MICROSPINE LLC

Practice address

101 Microspine Way
Defuniak Springs, FL 32435-6323

Phone

(850) 892-6001

Fax

(850) 892-4212

NPI assigned

May 24, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

MICROSPINE INCAs reported in NPPES

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

Authorized official

Name

Angel D Barber IX

Title

Administrator

Phone

(850) 892-6001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1093760449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MICROSPINE WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356323",
            "telephone_number": "850-892-6001",
            "fax_number": "850-892-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MICROSPINE WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324356323",
            "telephone_number": "850-892-6001",
            "fax_number": "850-892-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA GROUP OF MICROSPINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICROSPINE INC",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-892-6001",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PAR NUMBER",
            "identifier": "74903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.