NPIMap

Organization Active NPI

Doctors' Anesthesia Associates Inc

  • Anesthesiology Physician
  • Princeton, WV
National Provider Identifier
1134265697
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16708 Issued in WV
Legal business name
DOCTORS' ANESTHESIA ASSOCIATES INC
Practice address
109 Morrison Drive
Princeton, WV 24740
Phone
(304) 487-3559
Fax
(304) 487-7928
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Erez Ofir, MD
Title
President
Phone
(304) 487-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 16708 WV Primary

Addresses

Primary practice location

109 Morrison Drive
Princeton, WV 24740

Mailing address

PO Box 1143
Princeton, WV 24740
Phone (304) 487-3559

Other identifiers 1

IdentifierTypeStateIssuer
0066649000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1134265697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-3559",
            "fax_number": "304-487-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MORRISON DRIVE",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-3559",
            "fax_number": "304-487-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "OFIR",
        "authorized_official_first_name": "EREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-487-3559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "16708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066649000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.