Table Rock Anesthesiology Services P L L C

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

TABLE ROCK ANESTHESIOLOGY SERVICES P L L C

Practice address

2201 S Sterling St
Morganton, NC 28655-4044

Phone

(828) 580-5000

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

James R Fine, MD

Title

President

Phone

(828) 580-5000

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1164515524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "828-580-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "828-580-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLE ROCK ANESTHESIOLOGY SERVICES P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-580-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "014Y6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014Y6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB2223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saba Suhail Arain, MD
• Lenore Lloyd Sukoneck, M.ED., CCC-SLP
• Claudia Mae Summers, LMBT
• Latonya M. Summers, LPC
• Janice King Swearingen, R.PH.
• Michael Glen Taggart, M.D.
• Tamar Ministries LLC
• John Anthony Tata, M.D.
• Candice Marie Tate, PH.D.
• Brittany Brinkley Tatum, O.D.

• Anesthesiology Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.