Organization Active NPI

Anesthesia Services Associates PLLC

Doing business as Comprehensive Pain Specialist

  • Pain Medicine (Anesthesiology) Physician
  • Kernersville, NC
National Provider Identifier
1134677396
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIA SERVICES ASSOCIATES PLLC
Doing business as
Comprehensive Pain Specialist
Practice address
500 Pineview Dr
Ste 205
Kernersville, NC 27284-3812
Phone
(336) 310-6115
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Mandy Robertson
Title
Credentialing Specialist
Phone
(336) 842-8339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

500 Pineview Dr
Ste 205
Kernersville, NC 27284-3812

Mailing address

PO Box 440210
Nashville, TN 37244-0210
Phone (336) 842-8339

Other names 1

  • Comprehensive Pain Specialist Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1134677396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440210",
            "telephone_number": "336-842-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINEVIEW DR",
            "address_2": "STE 205",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843812",
            "telephone_number": "336-310-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA SERVICES ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "336-842-8339"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Pain Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.