Organization Active NPI

Heritage Anesthesia Services PLLC

  • Anesthesiology Physician
  • Glens Falls, NY
National Provider Identifier
1093968497
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
209294 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.