NPIMap

Organization Active NPI

Anesthesia Works LLC

  • Anesthesiology Physician
  • Columbia, SC
National Provider Identifier
1144557232
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA WORKS LLC
Practice address
1735 Taylor St
Columbia, SC 29201-3452
Phone
(803) 254-3452
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
John Walthall, CRNA
Title
Owner
Phone
(843) 327-6616

Specialties & licenses 1

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

Addresses

Primary practice location

1735 Taylor St
Columbia, SC 29201-3452

Mailing address

148 Welchman Ave
Goose Creek, SC 29445-7152
Phone (843) 327-6616

Other identifiers 1

IdentifierTypeStateIssuer
GP5317MedicaidSC

National Provider Directory

National Provider Directory

Locations

1131 Cook Rd
Orangeburg, SC 29118
Phone (803) 539-2005

Practitioners & affiliated clinicians

Practitioners 11

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": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1144557232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WELCHMAN AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457152",
            "telephone_number": "843-327-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013452",
            "telephone_number": "803-254-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "WALTHALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-327-6616",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5317",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.