Active NPI
Heritage Anesthesia Services PLLC
- Anesthesiology Physician
- Glens Falls, NY
National Provider Identifier
1093968497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 209294
- Legal business name
- HERITAGE ANESTHESIA SERVICES PLLC
- Practice address
- 45 Hudson Ave
Glens Falls, NY 12801-4313 - Phone
- (315) 449-0513
- Fax
- (315) 362-5120
- NPI assigned
- Oct 29, 2008
- Last updated
- Oct 29, 2008
- 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
- Dr. Philip Shultes, MD
- Title
- President
- Phone
- (518) 791-1562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 209294 | NY | Primary |
Addresses
Primary practice location
45 Hudson Ave
Glens Falls, NY 12801-4313
Mailing address
16 Heritage PT
Queensbury, NY 12804-9777
Phone (518) 791-1562
National Provider Directory
National Provider DirectoryLocations
45 Hudson Ave
Glens Falls, NY 12801
Phone (518) 793-4477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1093968497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HERITAGE PT",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128049777",
"telephone_number": "518-791-1562",
"fax_number": "315-362-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 HUDSON AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014313",
"telephone_number": "315-449-0513",
"fax_number": "315-362-5120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE ANESTHESIA SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "SHULTES",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-791-1562",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "209294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.