Active NPI
Upper Valley Anesthesiology Services, PLLC
- Anesthesiology Physician
- Lebanon, NH
National Provider Identifier
1164503223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- UPPER VALLEY ANESTHESIOLOGY SERVICES, PLLC
- Practice address
- 10 Alice Peck Day Dr
Alice Peck Day Memorial Hospital
Lebanon, NH 03766-2900 - Phone
- (603) 448-7410
- NPI assigned
- Oct 17, 2006
- 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. Andrea R Williams
- Title
- President
- Phone
- (603) 448-7480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
10 Alice Peck Day Dr
Alice Peck Day Memorial Hospital
Lebanon, NH 03766-2900
Mailing address
PO Box 8002
Salem, NH 03079-8002
Phone (800) 927-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009297 | Medicaid | NH | |
| 0104195YONH02 | Other | NH | ANTHEM BS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1164503223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8002",
"city": "SALEM",
"state": "NH",
"postal_code": "030798002",
"telephone_number": "800-927-0002",
"fax_number": "603-890-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"address_2": "ALICE PECK DAY MEMORIAL HOSPITAL",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662900",
"telephone_number": "603-448-7410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER VALLEY ANESTHESIOLOGY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "603-448-7480",
"authorized_official_name_prefix": "Dr."
},
"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": "1009297",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BS",
"identifier": "0104195YONH02",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.